Organization
DR JOHN F BLATTNER & DR DWIGHT D HEBERER PC
Active
Other names
Smiles R forever
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN F. BLATTNER DDS (PARTNER)
(618) 337-4300
Entity
Organization
Contact information
Practice address
226 WESTVIEW PLAZA DR, WATERLOO, IL 62298-1253
(618) 939-4042
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
332BC3200X
Customized Equipment (DME)
Primary
019016532
IL
Other
Enumeration date
09/23/2008
Last updated
11/21/2017
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