Bellwood Family Dental | |
160 S Bellwood Dr Ste A East Alton IL 62024-2086 | |
(618) 258-0239 | |
(618) 258-0765 |
Full Name | Bellwood Family Dental |
---|---|
Speciality | Dentist |
Location | 160 S Bellwood Dr Ste A, East Alton, Illinois |
Authorized Official Name and Position | Jonathan Sones (OWNER) |
Authorized Official Contact | 6186560608 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bellwood Family Dental 160 S Bellwood Dr Ste A East Alton IL 62024-2086 Ph: (618) 258-0239 | Bellwood Family Dental 160 S Bellwood Dr Ste A East Alton IL 62024-2086 Ph: (618) 258-0239 |
NPI Number | 1922598788 |
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Provider Enumeration Date | 05/16/2018 |
Last Update Date | 08/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922598788 | NPI | - | NPPES |
16394997991 | Other | IL | NPI |
1982221313 | Other | IL | NPI |
1134961758 | Other | IL | NPI |
1306576996 | Other | IL | NPI |
1588344824 | Other | IL | NPI |
1881262434 | Other | IL | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019028342 (Illinois) | Primary |
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