| Belleville Dental Center | |
|
3503 N Belt W Belleville IL 62226-5959 | |
| (618) 233-3503 | |
| Not Available |
| Full Name | Belleville Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 3503 N Belt W, Belleville, Illinois |
| Authorized Official Name and Position | Arthur Engelage (OWNER/DENTIST) |
| Authorized Official Contact | 6182333503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Belleville Dental Center 3503 N Belt W Belleville IL 62226-5959 Ph: (618) 233-3503 | Belleville Dental Center 3503 N Belt W Belleville IL 62226-5959 Ph: (618) 233-3503 |
| NPI Number | 1609288521 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 05/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609288521 | NPI | - | NPPES |
| 788754 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19015709 (Illinois) | Primary |
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