| Lakeland Hills Dental Pc | |
|
5011 N Illinois Suite 1 Fairview Heights IL 62208-3419 | |
| (618) 222-1942 | |
| Not Available |
| Full Name | Lakeland Hills Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5011 N Illinois, Fairview Heights, Illinois |
| Authorized Official Name and Position | Walter J. Jankowski (PRESIDENT/DENTIST) |
| Authorized Official Contact | 6182221942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Hills Dental Pc 256 Arbor Meadows Court Fairview Heights IL 62208-3419 Ph: (618) 444-4665 | Lakeland Hills Dental Pc 5011 N Illinois Suite 1 Fairview Heights IL 62208-3419 Ph: (618) 222-1942 |
| NPI Number | 1194735761 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194735761 | NPI | - | NPPES |
| 1318983 | Other | IL | UCCI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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