PERIODONTICS OF SOUTHERN ILLINOIS is a periodontics dentist in Belleville, IL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PERIODONTICS OF SOUTHERN ILLINOIS NPI is 1639224876. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
#11 PARK PLACE
BELLEVILLE, IL
ZIP 62226-925
Phone: (618) 233-7300
Fax: (618) 233-7432
The provider's authorized official is Josepj A Renner .
The authorized official title is Owner and has the following contact phone number (618) 233-7300.
The enumeration date for this NPI number is 1/25/2007 and was last updated on 8/22/2020.