IndividualActive
Robert Douglas, D.M.D., M.S.
NPI 1003938663 · Prosthodontics · East Alton, IL
Provider details
- NPI number
- 1003938663
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- D.M.D., M.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 021002025 (IL)
Specialties & taxonomies
Dental Providers
Practice location
160 S Bellwood Dr Ste B
East Alton, IL 62024-2086
Phone: (618) 258-1300
Approximate (ZIP-level) locationGet directions
Mailing address
160 S Bellwood Dr Ste B
East Alton, IL 62024-2086
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2022-12-14
- Certified
- 2022-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.