| Shiloh Dental Group Llc | |
|
301 Tamarack Ln Shiloh IL 62269-2993 | |
| (618) 643-9523 | |
| Not Available |
| Full Name | Shiloh Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 301 Tamarack Ln, Shiloh, Illinois |
| Authorized Official Name and Position | David Guilbeault (OWNER/DENTIST) |
| Authorized Official Contact | 6186439523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiloh Dental Group Llc 1922 Edwardsville Club Plaza Ct Edwardsville IL 62025-3717 Ph: (618) 643-9523 | Shiloh Dental Group Llc 301 Tamarack Ln Shiloh IL 62269-2993 Ph: (618) 643-9523 |
| NPI Number | 1316317977 |
|---|---|
| Provider Enumeration Date | 09/25/2015 |
| Last Update Date | 01/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316317977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
St Louis Dental Implant Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3750 Green Mount Crossing Dr, Shiloh, IL 62269 Phone: 314-729-7840 |