| Beltline Dental | |
|
3540 N Belt W Ste B Belleville IL 62226-5975 | |
| (618) 235-9101 | |
| Not Available |
| Full Name | Beltline Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3540 N Belt W, Belleville, Illinois |
| Authorized Official Name and Position | David Guilbeault (OWNER) |
| Authorized Official Contact | 6186921110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beltline Dental 6117 Timberwolfe Dr Glen Carbon IL 62034-1372 Ph: () - | Beltline Dental 3540 N Belt W Ste B Belleville IL 62226-5975 Ph: (618) 235-9101 |
| NPI Number | 1538424577 |
|---|---|
| Provider Enumeration Date | 07/05/2012 |
| Last Update Date | 07/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538424577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019025281 (Illinois) | Primary |
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