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

EDWARDSVILLE FAMILY DENTIST

Active Organization

EDWARDSVILLE FAMILY DENTIST is a Dental Clinic organization located in EDWARDSVILLE, Illinois. NPI 1063899417 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · EDWARDSVILLE, IL

Registration Details

NPI Number
1063899417
Provider Type
Organization
NPI Issued
May 5, 2015 (11.310120911257 yrs)
Last Updated
Jul 24, 2023
License
019028093 (IL)

Practice Information

Address
1811 LINDENWOOD AVE
EDWARDSVILLE, IL, 620252580
Browse IL providers · Browse ZIP 62025
Phone
6186590456
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in EDWARDSVILLE, IL

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.