SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE SCHOOL OF DENTAL MEDICINE
Dentist - General Practice
Active
Organization
NPI: 1215912696
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 19018978 (IL) |
Frequently Asked Questions
NPI 1215912696 is the National Provider Identifier for SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE SCHOOL OF DENTAL MEDICINE, a Dentist - General Practice provider located in Alton, IL. This NPI was enumerated on December 8, 2005.
Quick Facts
- NPI
- 1215912696
- Type
- Organization
- Enumerated
- Dec 8, 2005
- Last Updated
- Jul 10, 2007
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