Organization
MICHAEL J BENTLEY DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BENTLEY DDS (PRESIDENT)
(309) 698-0220
Entity
Organization
Contact information
Practice address
632 S MAIN ST, CREVE COEUR, IL 61610-3974
(309) 698-0220
(309) 698-0231
Mailing address
632 S MAIN ST, CREVE COEUR, IL 61610-3974
(309) 698-0220
(309) 698-0231
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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