Provider Demographics
NPI:1629185814
Name:SCHILLINGER, ALEX JOSEPH (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:JOSEPH
Last Name:SCHILLINGER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 INSIGHT AVENUE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:O'FALLON
Mailing Address - State:IL
Mailing Address - Zip Code:62269
Mailing Address - Country:US
Mailing Address - Phone:618-277-6550
Mailing Address - Fax:618-277-6088
Practice Address - Street 1:717 INSIGHT AVENUE
Practice Address - Street 2:SUITE 200
Practice Address - City:O'FALLON
Practice Address - State:IL
Practice Address - Zip Code:62269
Practice Address - Country:US
Practice Address - Phone:618-277-6550
Practice Address - Fax:618-277-6088
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19-0252091223G0001X
IL019025209122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice