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Individual

DR. JACOB ALAN SCHUETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2800 COLLEGE AVE, ALTON, IL 62002-4700
(618) 474-7000
Mailing address
1004 TIMBERLAKE DR, EDWARDSVILLE, IL 62025-4100
(618) 402-8831

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028313
IL
122300000X
Dentist
2010016964
MO
122300000X
Dentist
30-022854
OH

Other

Enumeration date
10/28/2008
Last updated
02/06/2023
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