Organization · Type 2 NPI

Springfield Periodontics LLC

Periodontics · Springfield, IL

NPI number 1649342999 Active

Practice location

2025 W Iles Ave
Springfield, IL 62704-4190

Fax (217) 787-6611

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone listed

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

5 other providers at this address

About NPI 1649342999

Springfield Periodontics LLC's National Provider Identifier is 1649342999, issued on Nov 14, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Springfield, IL. The record was last updated on Aug 22, 2020.