Organization · Type 2 NPI
Sipd Godfrey, PLLC
Pediatric Dentistry · Godfrey, IL
NPI number
1902669955
Active
Practice location
901 Lars Hoffman Xing
Godfrey, IL 62035-4217
Mailing address
1004 Timberlake Dr
Edwardsville, IL 62025-4100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None 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.
About NPI 1902669955
Sipd Godfrey, PLLC's National Provider Identifier is 1902669955, issued on Feb 2, 2024. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Godfrey, IL. The record was last updated on Feb 2, 2024.