Little Egypt Pediatric Dentistry
Little Egypt Pediatric Dentistry provides Pediatric Dentistry in Carbondale, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1255 Cedar CtCarbondale, IL 62901-5335
Phone: (618) 319-4536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X |
|---|
Record details
| NPI number | 1285377036 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Travis Cripps — Owner · (618) 694-2110 |
| NPI enumerated | April 19, 2022 |
| Last updated in NPPES | April 19, 2022 |
| Certification date | April 19, 2022 |
| Mailing address | 1255 Cedar Ct, Carbondale, IL 62901-5335 |