| Lori R Trost Dmd Pc | |
|
210 S Main St Red Bud IL 62278-1106 | |
| (618) 282-8282 | |
| Not Available |
| Full Name | Lori R Trost Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 210 S Main St, Red Bud, Illinois |
| Authorized Official Name and Position | Lori R Trost (DENTIST OWNER) |
| Authorized Official Contact | 6182828282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori R Trost Dmd Pc 210 S Main St Red Bud IL 62278-1106 Ph: (618) 282-8282 | Lori R Trost Dmd Pc 210 S Main St Red Bud IL 62278-1106 Ph: (618) 282-8282 |
| NPI Number | 1710055983 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 08/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710055983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019021423 (Illinois) | Primary |