Oral Surgeons of Southern Illinois

NPI #1477613297 in O Fallon, Illinois

Provider Information

NPI Number
1477613297
Entity Type
Organization
Organization Name
Oral Surgeons of Southern Illinois
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Dec 11, 2006
Last Updated
Aug 16, 2013

Practice Location

Address
741 W STATE ST
Address 2
SUITE 3
ZIP Code
62269-1971
Phone
(618) 628-1800

Authorized Official

Name
DR. DALE ALLEN SCHUTTE, D.D.S.
Title
PRESIDENT
Phone
(618) 628-1800

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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