OrganizationActive
3-D Imaging of Southern Illinois, Inc.
NPI 1124280706 · Dental Clinic/Center · Belleville, IL
Provider details
- NPI number
- 1124280706
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donald Burden, President(618) 222-1722
- License
- 19-13956 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5899 N Belt W
Suite B
Belleville, IL 62226-4617
Phone: (618) 222-1722
Approximate (ZIP-level) locationGet directions
Mailing address
5899 N Belt W
Belleville, IL 62226-4617
Registry dates
- Enumerated
- 2008-06-25
- Last updated
- 2008-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.