NPI 1124280706

3-D Imaging of Southern Illinois, INC.

Organisation Dental Clinic/Center Belleville, IL

Practice location

Address: 5899 N Belt W Suite B, Belleville, IL 62226-4617
Phone: (618) 222-1722

Authorised official

Name: Donald K Burden
Title: President
Phone: (618) 222-1722

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 19-13956 (IL)

Other Clinic/Center providers in Illinois →

Registry record

NPI: 1124280706
Entity type: Organization
NPI issued: 25 Jun 2008
Record last updated: 25 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.