Bi-State Oral and Facial Surgery, LLC

NPI #1669824439 in Alton, Illinois

Provider Information

NPI Number
1669824439
Entity Type
Organization
Organization Name
Bi-State Oral and Facial Surgery, LLC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jul 6, 2016
Last Updated
Oct 26, 2022

Practice Location

Address
3555 COLLEGE AVE
City
Alton
ZIP Code
62002-5009
Phone
(618) 462-1646

Authorized Official

Name
DR. BENJAMIN JACOB SCHLOTT, MD, DMD
Title
SINGLE MEMBER
Phone
(618) 462-1646

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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