Organization · Type 2 NPI

Southern Illinois University Edwardsville School of Dental Medicine

Dentist · East St. Louis, IL

NPI number 1760467146 Active

Practice location

411 E Broadway
East St. Louis, IL 62201-2904

Fax (618) 474-7029

Mailing address

2800 College Ave
Alton, IL 62002-4700

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X19018978 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1760467146

Southern Illinois University Edwardsville School of Dental Medicine's National Provider Identifier is 1760467146, issued on Dec 8, 2005. The primary taxonomy on file is Dentist (122300000X), and the practice location is in East St. Louis, IL. The record was last updated on Aug 22, 2020.