Search › Illinois › 1223G0001X
Ethan Grounds, DMD
NPI 1740710052 · on the registry since 2017
Practice
- Address
- 300 Small St Ste D
Harrisburg, IL 62946 - Phone
- (618) 252-1725
- Organisation at this address
- Ethan Grounds Dmd Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 1601 E Deyoung St, Marion, IL
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois