Organization · Type 2 NPI

Southern Illinois University Edwardsville School of Dental Medicine

General Practice Dentistry · Alton, IL

NPI number 1215912696 Active

Practice location

2800 College Ave
Alton, IL 62002-4700

Call (618) 474-7080 Map

Fax (618) 474-7029

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X19018978 (IL)

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.

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About NPI 1215912696

Southern Illinois University Edwardsville School of Dental Medicine's National Provider Identifier is 1215912696, issued on Dec 8, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Alton, IL. The record was last updated on Jul 10, 2007.