Thomas L. Waltemate, Dds, Ltd | |
405 S. Charles Steeleville IL 62288 | |
(618) 965-9213 | |
(618) 965-9213 |
Full Name | Thomas L. Waltemate, Dds, Ltd |
---|---|
Speciality | Dentist - General Practice |
Location | 405 S. Charles, Steeleville, Illinois |
Authorized Official Name and Position | Thomas L. Waltemate (PRESIDENT) |
Authorized Official Contact | 6189659213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thomas L. Waltemate, Dds, Ltd P.o. Box 218 Steeleville IL 62288 Ph: (618) 965-9213 | Thomas L. Waltemate, Dds, Ltd 405 S. Charles Steeleville IL 62288 Ph: (618) 965-9213 |
NPI Number | 1528217411 |
---|---|
Provider Enumeration Date | 09/16/2008 |
Last Update Date | 09/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528217411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 19-A14702 (Illinois) | Primary |