| Riverbend Dental Llc | |
|
215 E Center Drive Suite E Alton IL 62002 | |
| (618) 462-3330 | |
| (618) 462-3330 |
| Full Name | Riverbend Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 215 E Center Drive, Alton, Illinois |
| Authorized Official Name and Position | Cory E Darr (COMPANY PRESIDENT) |
| Authorized Official Contact | 6186921110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverbend Dental Llc 1922 Edwardsville Club Plaza Edwardsville IL 62025 Ph: (888) 502-7339 | Riverbend Dental Llc 215 E Center Drive Suite E Alton IL 62002 Ph: (618) 462-3330 |
| NPI Number | 1730478470 |
|---|---|
| Provider Enumeration Date | 04/04/2011 |
| Last Update Date | 05/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730478470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019025281 (Illinois) | Primary |
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