Organization · Type 2 NPI
Periodontics of Southern Illinois
Periodontics · Belleville, IL
NPI number
1639224876
Active
Practice location
#11 Park Place
Belleville, IL 62226-2925
Fax (618) 233-7432
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
| Periodontics | 1223P0300X | None listed |
| Periodontics | 1223P0300X | None listed |
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.
About NPI 1639224876
Periodontics of Southern Illinois's National Provider Identifier is 1639224876, issued on Jan 25, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Belleville, IL. The record was last updated on Aug 22, 2020.