Organization · Type 2 NPI
Bi-State Oral and Facial Surgery, LLC
Oral and Maxillofacial Surgery (Dentist) · Alton, IL
NPI number
1669824439
Active
Practice location
3555 College Ave
Alton, IL 62002-5009
Fax (618) 462-5721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 021002736 (IL) |
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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Alton
About NPI 1669824439
Bi-State Oral and Facial Surgery, LLC's National Provider Identifier is 1669824439, issued on Jul 6, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Alton, IL. The record was last updated on Oct 26, 2022.