| James J. Reinersman D.M.D. P.C. | |
|
2524 State St Alton IL 62002-5148 | |
| (618) 462-2607 | |
| (618) 462-2607 |
| Full Name | James J. Reinersman D.M.D. P.C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2524 State St, Alton, Illinois |
| Authorized Official Name and Position | James Joseph Reinersman (PRESIDENT-OWNER) |
| Authorized Official Contact | 6184622607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James J. Reinersman D.M.D. P.C. 2524 State St Alton IL 62002-5148 Ph: (618) 466-4717 | James J. Reinersman D.M.D. P.C. 2524 State St Alton IL 62002-5148 Ph: (618) 462-2607 |
| NPI Number | 1962614479 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 07/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962614479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-015837 (Illinois) | Primary |
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