Jeffrey Alan Colligan, D.M.D., M.S.D. Valid NPI
Individual provider · Periodontics · East Alton, IL
- NPI
- 1831382233
- Type
- Individual (Type 1)
- Primary specialty
- Periodontics (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223P0300X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-08-20
- Last updated
- 2007-08-20
Practice location
160 S Bellwood Dr Ste C
East Alton, IL 62024-2086
(618) 258-1244