Individual provider · Type 1 NPI
Michael R. Hesterberg, DMD
Oral and Maxillofacial Surgery (Dentist) · Belleville, IL
NPI number
1184611212
Active
Practice location
2900 Frank Scott Pkwy W, Suite 960
Belleville, IL 62223-5000
Fax (618) 233-1192
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1184611212
Michael R. Hesterberg, DMD's National Provider Identifier is 1184611212, issued on Oct 4, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Belleville, IL. The record was last updated on Jul 17, 2007.