| Hite Family Dentistry Llc | |
|
1427 Lewis Rd Edwardsville IL 62025-4148 | |
| (618) 656-9123 | |
| (618) 656-9245 |
| Full Name | Hite Family Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 1427 Lewis Rd, Edwardsville, Illinois |
| Authorized Official Name and Position | Benjamin Hite (OWNER) |
| Authorized Official Contact | 6186569123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hite Family Dentistry Llc 1427 Lewis Rd Edwardsville IL 62025-4148 Ph: (618) 656-9123 | Hite Family Dentistry Llc 1427 Lewis Rd Edwardsville IL 62025-4148 Ph: (618) 656-9123 |
| NPI Number | 1376316158 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 05/14/2024 |
| Medicare PECOS PAC ID | 3779022231 |
|---|---|
| Medicare Enrollment ID | O20240828001898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376316158 | NPI | - | NPPES |
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