Metro Oms | |
2246 S State Route 157 Suite 325 Glen Carbon IL 62034-1717 | |
(618) 288-8770 | |
(618) 288-8782 |
Full Name | Metro Oms |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2246 S State Route 157, Glen Carbon, Illinois |
Authorized Official Name and Position | Jonathan W Burton (PRESIDENT) |
Authorized Official Contact | 6182888770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Metro Oms 2246 S State Route 157 Suite 325 Glen Carbon IL 62034-1717 Ph: (618) 288-8770 | Metro Oms 2246 S State Route 157 Suite 325 Glen Carbon IL 62034-1717 Ph: (618) 288-8770 |
NPI Number | 1457887168 |
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Provider Enumeration Date | 05/02/2017 |
Last Update Date | 05/02/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457887168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019026124 (Illinois) | Primary |
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St. Louis Surgical Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Ginger Creek Pkwy, Glen Carbon, IL 62034 Phone: 618-655-1580 | |
Sunset Hills Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 87 Magnolia Dr, Glen Carbon, IL 62025 Phone: 618-692-9980 Fax: 618-692-9905 | |
Kellerman Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Junction Dr W Ste 101, Glen Carbon, IL 62034 Phone: 618-288-3535 | |
Mastroianni Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2220 S State Route 157, Suite 125, Glen Carbon, IL 62034 Phone: 618-288-0600 Fax: 618-288-8004 |