Bi-state Oral And Facial Surgery, Llc
Oral and Maxillofacial Dental Clinic
3555 College Ave, Alton
Illinois, 62002-5009
618-462-1646 618-462-5721
Maps & DirectionsBi-state Oral And Facial Surgery, Llc is a Oral and Maxillofacial Dental Clinic in Alton, Illinois. It is located at 3555 College Ave, Alton, IL and its contact number is 618-462-1646. The authorized person for Bi-state Oral And Facial Surgery, Llc is Dr. Benjamin Jacob Schlott
who is Single Member of the clinic and their contact number is 618-462-1646. The primary license number for Bi-state Oral And Facial Surgery, Llc is 021002736 (Oral and Maxillofacial Surgery) in Illinois.
Bi-state Oral And Facial Surgery, Llc Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Bi-state Oral And Facial Surgery, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Bi-state Oral And Facial Surgery, Llc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 3555 College Ave, Alton,
Illinois, 62002-5009 |
| Phone: | 618-462-1646 |
| Fax: | 618-462-5721 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Benjamin Jacob Schlott |
| Position: | Single Member |
| Contact Number: | 618-462-1646 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Bi-state Oral And Facial Surgery, Llc clinic are as mentioned below.
| NPI Number: | 1669824439 |
| NPI Enumeration Date: | 06 Jul, 2016 |
| NPI Last Update On: | 26 Oct, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bi-state Oral And Facial Surgery, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 021002736 | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1891938296 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Bi-state Oral And Facial Surgery, Llc
3555 College Ave,
Alton, Illinois |
| Zip: | 62002-5009 |
| Phone Number: | 618-462-1646 |
| Fax Number: | 618-462-5721 |
Patients can reach Bi-state Oral And Facial Surgery, Llc at
3555 College Ave, Alton, Illinois or can
call to book an appointment on 618-462-1646.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.