Organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Other names
Creating Smiles Cosmetic and Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Authorized official
COURTNEY MONTEITH (CREDENTIALING COORDINATOR)
(214) 540-8306
Entity
Organization
Contact information
Practice address
101 UNITED DR STE 150, COLLINSVILLE, IL 62234-7439
(618) 345-7676
Mailing address
101 UNITED DR STE 150, COLLINSVILLE, IL 62234-7439
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
07/14/2022
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