| Oral Surgeons Of Southern Illinois | |
|
741 W State St Suite 3 O Fallon IL 62269-1971 | |
| (618) 628-1800 | |
| (618) 628-3406 |
| Full Name | Oral Surgeons Of Southern Illinois |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 741 W State St, O Fallon, Illinois |
| Authorized Official Name and Position | Dale Allen Schutte (PRESIDENT) |
| Authorized Official Contact | 6186281800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgeons Of Southern Illinois 741 W State St Suite 3 O Fallon IL 62269-1971 Ph: (618) 628-1800 | Oral Surgeons Of Southern Illinois 741 W State St Suite 3 O Fallon IL 62269-1971 Ph: (618) 628-1800 |
| NPI Number | 1477613297 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477613297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 021.001638 (Illinois) | Primary |
Spring Valley Dental Group Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 E Highway 50, O Fallon, IL 62269 Phone: 618-632-8471 Fax: 618-632-7130 | |
Spring Valley Dental Associates Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 E Highway 50, O Fallon, IL 62269 Phone: 186-632-8471 | |
Stone Falls Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4945 Stone Falls Ctr, Suite A, O Fallon, IL 62269 Phone: 618-624-2800 Fax: 618-551-2288 | |
Dentists Of Ofallon Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1124 Merchants Way Ste 200, O Fallon, IL 62269 Phone: 618-515-4929 | |
Associated Pediatric Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4945 Stone Falls Ctr, Suite B, O Fallon, IL 62269 Phone: 618-622-0212 | |
Bowman Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 741 W State St, Ste. 1, O Fallon, IL 62269 Phone: 618-632-2282 |