is a Dentist in Edwardsville, Illinois. practices all healthcare services and medical treatments related to Dentist. The NPI Number for is 1063679041. The last update date is .
's current location address is 235a S Main St, Edwardsville, Illinois. You can contact this provider via phone number 6186560451 and fax number 6186569031. The mailing address for is 235a S Main St, Edwardsville, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 235a S Main St, Edwardsville, Illinois |
Phone Number | 6186560451 |
Fax Number | 6186569031 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1063679041 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 235a S Main St |
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City | Edwardsville |
State | Illinois (IL) |
Post Code | 620251921 |
Phone Number | 6186560451 |
Fax Number | 6186569031 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 19026200 |
Definition: 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: denti |
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