Organization · Type 2 NPI

Dental Professionals of Illinois, P.c.

General Practice Dentistry · Glen Carbon, IL

NPI number 1093937336 Active

Practice location

87 Magnolia Dr
Glen Carbon, IL 62025-1535

Call (618) 692-9980 Map

Fax (618) 692-9905

Mailing address

2 Club Centre Court
Edwardsville, IL 62025

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other general practice dentistry providers in Glen Carbon

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NPI record

NPI: 1093937336
Entity type: Organization (Type 2)
Issued: May 3, 2007
Last updated: Oct 31, 2024
Status: Active
Subpart: Yes of Dental Professionals of Illinois, P.c.

Other names

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Sunset Hills Family Dental · doing business as

Authorized official

Erika Davis
Credentialing Coordinator
(217) 540-8434

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093937336

Dental Professionals of Illinois, P.c.'s National Provider Identifier is 1093937336, issued on May 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Glen Carbon, IL. The record was last updated on Oct 31, 2024.