BI-STATE ORAL AND FACIAL SURGERY, LLC is an oral and maxillofacial surgery dentist in Alton, IL. The provider is the specialty of dentistry which includes 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. BI-STATE ORAL AND FACIAL SURGERY, LLC NPI is 1669824439. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
815 E 5TH ST
SUITW 411
ALTON, IL
ZIP 62002-471
Phone: (618) 462-1646
Fax: (618) 462-5211
The provider's authorized official is Benjamin Jacob Schlott .
The authorized official title is Single Member and has the following contact phone number (618) 462-1646.
The enumeration date for this NPI number is 7/6/2016 and was last updated on 7/6/2016.