| Thomas L. Waltemate, Dds, Ltd | |
|
405 S. Charles Steeleville IL 62288 | |
| (618) 965-9213 | |
| (618) 965-9213 |
| Full Name | Thomas L. Waltemate, Dds, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 405 S. Charles, Steeleville, Illinois |
| Authorized Official Name and Position | Thomas L. Waltemate (PRESIDENT) |
| Authorized Official Contact | 6189659213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas L. Waltemate, Dds, Ltd P.o. Box 218 Steeleville IL 62288 Ph: (618) 965-9213 | Thomas L. Waltemate, Dds, Ltd 405 S. Charles Steeleville IL 62288 Ph: (618) 965-9213 |
| NPI Number | 1528217411 |
|---|---|
| Provider Enumeration Date | 09/16/2008 |
| Last Update Date | 09/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528217411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19-A14702 (Illinois) | Primary |