Organization · Type 2 NPI

Metro East Periodontics, PLLC

Dental Clinic/Center · East Alton, IL

NPI number 1801509666 Active

Practice location

160 S Bellwood Dr Ste C
East Alton, IL 62024-2086

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1801509666

Metro East Periodontics, PLLC's National Provider Identifier is 1801509666, issued on Dec 26, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in East Alton, IL. The record was last updated on Jan 23, 2023.