| Simply Smiles | |
|
25 Glen Ed Professional Park Glen Carbon IL 62034-3333 | |
| (618) 692-6040 | |
| (618) 692-6081 |
| Full Name | Simply Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25 Glen Ed Professional Park, Glen Carbon, Illinois |
| Authorized Official Name and Position | Briana Leigh Oller (PRESIDENT/DENTIST) |
| Authorized Official Contact | 6185678487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simply Smiles 6824 Deer Crk Edwardsville IL 62025-3060 Ph: (618) 567-8487 | Simply Smiles 25 Glen Ed Professional Park Glen Carbon IL 62034-3333 Ph: (618) 692-6040 |
| NPI Number | 1770741183 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770741183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019026211 (Illinois) | Primary |
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