St Louis Surgical Associates, LLC
St Louis Surgical Associates, LLC provides Periodontics in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
24 Ginger Creek PkwyGlen Carbon, IL 62034-3502 Not confirmed with CMS for 10 years — call before visiting
Phone: (618) 655-1580
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 19025397 (IL) |
|---|
Record details
| NPI number | 1093064057 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Guilbeault — Owner · (618) 643-9523 |
| NPI enumerated | September 6, 2012 |
| Last updated in NPPES | November 30, 2015 |
| Mailing address | 24 Ginger Creek Pkwy, Glen Carbon, IL 62034-3502 |