Provider Demographics
NPI:1679044804
Name:DROEGE AND SANTEL PLLC
Entity Type:Organization
Organization Name:DROEGE AND SANTEL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:H
Authorized Official - Last Name:DROEGE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:618-973-6677
Mailing Address - Street 1:10 APEX DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HIGHLAND
Mailing Address - State:IL
Mailing Address - Zip Code:62249-1296
Mailing Address - Country:US
Mailing Address - Phone:618-654-2080
Mailing Address - Fax:618-654-2090
Practice Address - Street 1:10 APEX DR
Practice Address - Street 2:SUITE 2
Practice Address - City:HIGHLAND
Practice Address - State:IL
Practice Address - Zip Code:62249-1296
Practice Address - Country:US
Practice Address - Phone:618-654-2080
Practice Address - Fax:618-654-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty