| The Dental Studio Of Southern Illinois | |
|
741 W State St Ste 1 O Fallon IL 62269-1971 | |
| (618) 632-2282 | |
| Not Available |
| Full Name | The Dental Studio Of Southern Illinois |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 741 W State St Ste 1, O Fallon, Illinois |
| Authorized Official Name and Position | Brittany Gilbreth (CO-OWNER) |
| Authorized Official Contact | 6183040998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Studio Of Southern Illinois 741 W State St Ste 1 O Fallon IL 62269-1971 Ph: () - | The Dental Studio Of Southern Illinois 741 W State St Ste 1 O Fallon IL 62269-1971 Ph: (618) 632-2282 |
| NPI Number | 1598408783 |
|---|---|
| Provider Enumeration Date | 04/15/2022 |
| Last Update Date | 05/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598408783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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