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

SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE SCHOOL OF DENTAL MEDICINE

Active Organization

SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE SCHOOL OF DENTAL MEDICINE is a General Dentistry organization located in ALTON, Illinois. NPI 1215912696 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · ALTON, IL

Registration Details

NPI Number
1215912696
Provider Type
Organization
NPI Issued
Dec 8, 2005 (20.667929777188 yrs)
Last Updated
Jul 10, 2007
License
19018978 (IL)

Practice Information

Address
2800 COLLEGE AVE
ALTON, IL, 620024700
Browse IL providers · Browse ZIP 62002
Phone
6184747080
Fax
6184747029
Primary Specialty
General Dentistry
1223G0001X
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.