Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ST. LOUIS SURGICAL ASSOCIATES, LLC
Active OrganizationST. LOUIS SURGICAL ASSOCIATES, LLC is a Periodontology organization located in GLEN CARBON, Illinois. NPI 1093064057 is currently active in the NPPES registry. Verify at CMS.
Periodontology · GLEN CARBON, IL
Registration Details
- NPI Number
- 1093064057
- Provider Type
- Organization
- NPI Issued
- Sep 6, 2012 (13.976103829948 yrs)
- Last Updated
- Nov 30, 2015
- License
-
19025397 (IL)
Practice Information
- Address
-
24 GINGER CREEK PKWYGLEN CARBON, IL, 620343502Browse IL providers · Browse ZIP 62034
- Phone
- 6186551580
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.