| Gerald R. Dragich, D.m.d., P.c. | |
|
3909 N Belt W A Belleville IL 62226-5607 | |
| (618) 236-0900 | |
| (618) 236-0913 |
| Full Name | Gerald R. Dragich, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3909 N Belt W, Belleville, Illinois |
| Authorized Official Name and Position | Gerald Ray Dragich (PRESIDENT) |
| Authorized Official Contact | 6182360900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald R. Dragich, D.m.d., P.c. 3909 N Belt W A Belleville IL 62226-5607 Ph: (618) 236-0900 | Gerald R. Dragich, D.m.d., P.c. 3909 N Belt W A Belleville IL 62226-5607 Ph: (618) 236-0900 |
| NPI Number | 1639448137 |
|---|---|
| Provider Enumeration Date | 12/29/2011 |
| Last Update Date | 12/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639448137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019.017181 (Illinois) | Primary |
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