Bi-State Oral And Facial Surgery, Llc

LBN: Bi-State Oral And Facial Surgery, Llc
Bi-State Oral And Facial Surgery, Llc is an health care organization with primary practice located at 3555 College Ave , Alton IL 62002-5009. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Bi-State Oral And Facial Surgery, Llc can be contacted via phone (618) 462-1646, or through Schlott, Benjamin Jacob via phone (618) 462-1646.

Contact Information

Primary practice address
3555 College Ave Alton IL 62002-5009
Phone: (618) 462-1646
Fax: (618) 462-5721
Website:
Map and Directions
Authorized official contact:
Name: Schlott, Benjamin Jacob MD, DMD
Phone: (618) 462-1646

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 021002736 Illinois

Profile Details

NPI number 1669824439
LBN Legal business name Bi-State Oral And Facial Surgery, Llc
DBA Doing business as
Authorized official Schlott, Benjamin Jacob MD, DMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2016
Last updated Oct 26th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669824439 NPPES
Missouri MEDICAID 1891938296

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