Organization
DR JOHN F BLATTNER & DR. DWIGHT D HEBERER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN F BLATTNER D.M.D (PRESIDENT)
(618) 939-4042
Entity
Organization
Contact information
Practice address
226 WESTVIEW PLAZA DR., WATERLOO, IL 62298-1253
(618) 939-4042
(618) 939-5404
Mailing address
226 WESTVIEW PLAZA DR., WATERLOO, IL 62298-1253
(618) 939-4042
(618) 939-5404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019016532
IL
332B00000X
Durable Medical Equipment & Medical Supplies
019016532
IL
332BC3200X
Customized Equipment (DME)
Primary
019016532
IL
Other
Enumeration date
07/21/2006
Last updated
12/12/2017
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