| Michael J Bentley Dds Ltd | |
|
632 S Main St Creve Coeur IL 61610-3974 | |
| (309) 698-0220 | |
| (309) 698-0231 |
| Full Name | Michael J Bentley Dds Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 632 S Main St, Creve Coeur, Illinois |
| Authorized Official Name and Position | Michael Bentley (PRESIDENT) |
| Authorized Official Contact | 3096980220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Bentley Dds Ltd 632 S Main St Creve Coeur IL 61610-3974 Ph: (309) 698-0220 | Michael J Bentley Dds Ltd 632 S Main St Creve Coeur IL 61610-3974 Ph: (309) 698-0220 |
| NPI Number | 1568539096 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568539096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |