| Spring Valley Dental Associates Llc | |
|
904 E Highway 50 O Fallon IL 62269-2868 | |
| (186) 632-8471 | |
| Not Available |
| Full Name | Spring Valley Dental Associates Llc |
|---|---|
| Speciality | Dentist |
| Location | 904 E Highway 50, O Fallon, Illinois |
| Authorized Official Name and Position | Diana Lifritz (OPERATIONS MANAGER OF CREDENTIALING) |
| Authorized Official Contact | 6365785027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Valley Dental Associates Llc 1922 Edwardsville Club Plaza Ct Edwardsville IL 62025-3717 Ph: (888) 502-7339 | Spring Valley Dental Associates Llc 904 E Highway 50 O Fallon IL 62269-2868 Ph: (186) 632-8471 |
| NPI Number | 1154040830 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154040830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Spring Valley Dental Group Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 E Highway 50, O Fallon, IL 62269 Phone: 618-632-8471 Fax: 618-632-7130 | |
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