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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PERIODONTICS OF SOUTHERN ILLINOIS

Active Organization

PERIODONTICS OF SOUTHERN ILLINOIS is a Periodontology organization located in BELLEVILLE, Illinois. NPI 1639224876 is currently active in the NPPES registry. Verify at CMS.

Periodontology · BELLEVILLE, IL

Registration Details

NPI Number
1639224876
Provider Type
Organization
NPI Issued
Jan 25, 2007 (19.589749356971 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
#11 PARK PLACE
BELLEVILLE, IL, 622262925
Browse IL providers · Browse ZIP 62226
Phone
6182337300
Fax
6182337432
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology
Additional Specialty
Periodontology
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.