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St. Louis Surgical Associates, Llc
Periodontist in Glen Carbon, Illinois
NPI 1093064057

St. Louis Surgical Associates, Llc is a Periodontist based in Glen Carbon, IL and is specialized in Periodontics. St. Louis Surgical Associates, Llc practices in Glen Carbon, IL. The NPI Number for St. Louis Surgical Associates, Llc is 1093064057 and holds a License No. 19025397 (Illinois).

The current practice location address for St. Louis Surgical Associates, Llc is 24 Ginger Creek Pkwy, Glen Carbon, IL and can be reached out via phone at 618-655-1580.

Location: 24 Ginger Creek Pkwy, Glen Carbon, IL, 62034-3502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093064057
Provider Name
St. Louis Surgical Associates, Llc
Credential
Provider Entity Type
Organization
Address
24 Ginger Creek Pkwy, Glen Carbon, IL, 62034-3502
Phone Number
618-655-1580
Fax Number
Provider Enumeration Date
09/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
24 Ginger Creek Pkwy
City
Glen Carbon
State
Illinois
Zip
62034-3502
Phone Number
618-655-1580
Fax Number
person
Provider Business Mailing Address Details
Address
24 Ginger Creek Pkwy
City
Glen Carbon
State
Illinois
Zip
62034-3502
Phone Number
618-655-1580
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
19025397 (Illinois)
Definition
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.
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