Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bi-State Oral and Facial Surgery, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1669824439

Bi-State Oral and Facial Surgery, LLC is an Oral and Maxillofacial Surgery (Dentist) in Alton, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3555 College Ave
Alton, IL 62002-5009
Phone: (618) 462-1646
Fax: (618) 462-5721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 021002736 (IL)

Record details

NPI number1669824439
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Schlott — Single Member · (618) 462-1646
NPI enumeratedJuly 6, 2016
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022
Mailing address3555 College Ave, Alton, IL 62002-5009

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