| Deer Run Dental, Pc | |
|
717 Insight Ave Suite 200 O'fallon IL 62269 | |
| (618) 277-6550 | |
| (618) 800-2906 |
| Full Name | Deer Run Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 717 Insight Ave, O'fallon, Illinois |
| Authorized Official Name and Position | Alex J Schillinger (OWNER) |
| Authorized Official Contact | 6186981871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deer Run Dental, Pc 717 Insight Ave Suite 200 O'fallon IL 62269 Ph: (618) 277-6550 | Deer Run Dental, Pc 717 Insight Ave Suite 200 O'fallon IL 62269 Ph: (618) 277-6550 |
| NPI Number | 1780316596 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 06/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780316596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |