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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHERN ILLINOIS UNIVERSITY CARBONDALE DENTAL SEALANT PROGRAM

Active Organization

SOUTHERN ILLINOIS UNIVERSITY CARBONDALE DENTAL SEALANT PROGRAM is a Dental Public Health organization located in CARBONDALE, Illinois. NPI 1053582189 is currently active in the NPPES registry. Verify at CMS.

Dental Public Health · CARBONDALE, IL

Registration Details

NPI Number
1053582189
Provider Type
Organization
NPI Issued
Mar 17, 2008 (18.447767611593 yrs)
Last Updated
Jun 3, 2025

Practice Information

Address
1365 DOUGLAS DR RM 18
CASA, SAH, MC 6615
CARBONDALE, IL, 629012583
Browse IL providers · Browse ZIP 62901
Phone
6184537211
Fax
6184537020
Primary Specialty
Dental Public Health
1223D0001X
Additional Specialty
Dental Public Health

Other Dental Public Health Organizations in CARBONDALE, IL

Name NPI
SMICHAEL VANCIL DMD LLC 1770632119
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.