IndividualActive
Charles Proesel, D.D.S.
NPI 1972508364 · Public Health Dentistry · Gridley, IL
Provider details
- NPI number
- 1972508364
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- License
- 19A14491 (IL)
Practice location
205 E Gridley Rd
Gridley, IL 61744-8733
Phone: (309) 747-2213
Fax: (309) 747-3989
Mailing address
Po Box 288
Gridley, IL 61744-0288
Registry dates
- Enumerated
- 2005-06-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.