Bi-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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.