| Kirk D. Satrom, DDS MS PC | |
|
741 W State St Suite # 2 O Fallon IL 62269-1971 | |
| (618) 624-0800 | |
| (618) 624-0053 |
| Full Name | Kirk D. Satrom, DDS MS PC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 741 W State St, O Fallon, Illinois |
| Authorized Official Name and Position | Kirk D Satrom (PRESIDENT) |
| Authorized Official Contact | 6186240800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirk D. Satrom, DDS MS PC 741 W State St Suite # 2 O Fallon IL 62269-1971 Ph: (618) 624-0800 | Kirk D. Satrom, DDS MS PC 741 W State St Suite # 2 O Fallon IL 62269-1971 Ph: (618) 624-0800 |
| NPI Number | 1669778601 |
|---|---|
| Provider Enumeration Date | 02/09/2011 |
| Last Update Date | 02/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669778601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 060.009554 (Illinois) | Primary |
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