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Bi-state Oral And Facial Surgery, Llc
Oral and Maxillofacial Surgery (Dentist) in Alton, Illinois
NPI 1669824439

Bi-state Oral And Facial Surgery, Llc is a Oral and Maxillofacial Surgery (Dentist) based in Alton, IL and is specialized in Oral and Maxillofacial Surgery. Bi-state Oral And Facial Surgery, Llc practices in Alton, IL. The NPI Number for Bi-state Oral And Facial Surgery, Llc is 1669824439 and holds a License No. 021002736 (Illinois).

The current practice location address for Bi-state Oral And Facial Surgery, Llc is 3555 College Ave, Alton, IL and can be reached out via phone at 618-462-1646 and via fax at 618-462-5721.

Location: 3555 College Ave, Alton, IL, 62002-5009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669824439
Provider Name
Bi-state Oral And Facial Surgery, Llc
Credential
Provider Entity Type
Organization
Address
3555 College Ave, Alton, IL, 62002-5009
Phone Number
618-462-1646
Fax Number
618-462-5721
Provider Enumeration Date
07/06/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1891938296 05 MO
institution
Provider Business Practice Location Address Details
Address
3555 College Ave
City
Alton
State
Illinois
Zip
62002-5009
Phone Number
618-462-1646
Fax Number
618-462-5721
person
Provider Business Mailing Address Details
Address
3555 College Ave
City
Alton
State
Illinois
Zip
62002-5009
Phone Number
618-462-1646
Fax Number
618-462-5721
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
021002736 (Illinois)
Definition
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.
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