| Smile Team, Pc | |
|
7210 W Main St Suite 203 Belleville IL 62223-3038 | |
| (314) 397-7868 | |
| Not Available |
| Full Name | Smile Team, Pc |
|---|---|
| Speciality | Dentist |
| Location | 7210 W Main St, Belleville, Illinois |
| Authorized Official Name and Position | Kirk Quigless (OWNER) |
| Authorized Official Contact | 6183977868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Team, Pc 7210 W Main St Suite 203 Belleville IL 62223-3038 Ph: (314) 397-7868 | Smile Team, Pc 7210 W Main St Suite 203 Belleville IL 62223-3038 Ph: (314) 397-7868 |
| NPI Number | 1295974277 |
|---|---|
| Provider Enumeration Date | 02/13/2009 |
| Last Update Date | 02/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295974277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019-024000 (Illinois) | Primary |
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