Organization · Type 2 NPI

Collinsville Pediatric Dentistry PLLC

Pediatric Dentistry · Collinsville, IL

NPI number 1295366896 Active

Practice location

90 Crestmoor St
Collinsville, IL 62234-4951

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2 other providers at this address

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About NPI 1295366896

Collinsville Pediatric Dentistry PLLC's National Provider Identifier is 1295366896, issued on Feb 1, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Collinsville, IL. The record was last updated on Feb 1, 2020.