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Periodontics Of Southern Illinois
Periodontist in Belleville, Illinois
NPI 1639224876

Periodontics Of Southern Illinois is a Periodontist based in Belleville, IL and is specialized in Periodontics. Periodontics Of Southern Illinois practices in Belleville, IL. The NPI Number for Periodontics Of Southern Illinois is 1639224876 and holds a License No. (Illinois).

The current practice location address for Periodontics Of Southern Illinois is #11 Park Place, Belleville, IL and can be reached out via phone at 618-233-7300 and via fax at 618-233-7432.

Location: #11 Park Place, Belleville, IL, 62226-2925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639224876
Provider Name
Periodontics Of Southern Illinois
Credential
Provider Entity Type
Organization
Address
#11 Park Place, Belleville, IL, 62226-2925
Phone Number
618-233-7300
Fax Number
618-233-7432
Provider Enumeration Date
01/25/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
#11 Park Place
City
Belleville
State
Illinois
Zip
62226-2925
Phone Number
618-233-7300
Fax Number
618-233-7432
person
Provider Business Mailing Address Details
Address
#11 Park Place
City
Belleville
State
Illinois
Zip
62226-2925
Phone Number
618-233-7300
Fax Number
618-233-7432
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
(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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