Organization · Type 2 NPI
St. Louis Surgical Associates, LLC
Periodontics · Glen Carbon, IL
NPI number
1093064057
Active
Practice location
24 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 19025397 (IL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
6 other providers at this address
- Ginger Creek Dental LLCGeneral Practice Dentistry Glen Carbon, IL NPI 1023323623
- West End Family DentalGeneral Practice Dentistry Glen Carbon, IL NPI 1023448891
- David G. Guilbeault, DMDGeneral Practice Dentistry Glen Carbon, IL NPI 1700894953
- Dustin Jay Simpson, DMDDentist Glen Carbon, IL NPI 1952742371
- Jillian Marie BruchDentist Glen Carbon, IL NPI 1952783490
- Ryan Harry Schmidlkofer, DMDGeneral Practice Dentistry Glen Carbon, IL NPI 1255175709
About NPI 1093064057
St. Louis Surgical Associates, LLC's National Provider Identifier is 1093064057, issued on Sep 6, 2012. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Glen Carbon, IL. The record was last updated on Nov 30, 2015.