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Organization

HITE FAMILY DENTISTRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BENJAMIN HITE DMD (OWNER)
(618) 656-9123
Entity
Organization

Contact information

Practice address
1427 LEWIS RD, EDWARDSVILLE, IL 62025-4148
(618) 656-9123
(618) 656-9245
Mailing address
1427 LEWIS RD, EDWARDSVILLE, IL 62025-4148
(618) 656-9123
(618) 656-9245

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
11/02/2023
Last updated
05/14/2024
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