The Dental Studio of Southern Illinois
The Dental Studio of Southern Illinois is a Dental Clinic/Center in O Fallon, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
741 W State St Ste 1O Fallon, IL 62269-1971
Phone: (618) 632-2282
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1598408783 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brittany Gilbreth — Co-Owner · (618) 304-0998 |
| NPI enumerated | April 15, 2022 |
| Last updated in NPPES | May 1, 2022 |
| Certification date | May 1, 2022 |
| Mailing address | 741 W State St Ste 1, O Fallon, IL 62269-1971 |