Organization · Type 2 NPI
Great Rivers Dental P.c.
Clinic/Center · Bethalto, IL
NPI number
1932814720
Active
Practice location
708 E Bethalto Dr
Bethalto, IL 62010-1871
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
About NPI 1932814720
Great Rivers Dental P.c.'s National Provider Identifier is 1932814720, issued on Jan 17, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Bethalto, IL. The record was last updated on Jan 17, 2023.