Southern Illinois Pediatric Dentistry of Edwardsville
Southern Illinois Pediatric Dentistry of Edwardsville provides Pediatric Dentistry in Edwardsville, Illinois. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1419 Lewis Rd Ste 2Edwardsville, IL 62025
Phone: (618) 655-3272
Fax: (618) 655-3273
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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 | 1568925014 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christine Wohlford — Dentist/Member · (618) 655-3272 |
| NPI enumerated | April 11, 2019 |
| Last updated in NPPES | April 11, 2019 |
| Mailing address | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 |