Individual
DR. MICHAEL ROBERT WATTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1115 MORGAN ST, CARLINVILLE, IL 62626-1438
(217) 854-3223
Mailing address
205 OAKLAND AVE, CARLINVILLE, IL 62626-1921
(217) 854-3223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3697
AR
Other
Enumeration date
03/12/2009
Last updated
03/02/2026
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