Signature Endodontics in Edwardsville - Endodontics
Signature Endodontics - NPI 1891976825
Signature Endodontics is a Endodontics in Edwardsville, Illinois. Signature Endodontics practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Signature Endodontics is 1891976825. The last update date is 2007-11-19.
Signature Endodontics's current location address is 40a Edwardsville Prof Park, Edwardsville, Illinois. You can contact this provider via phone number 6186592030 and fax number 6186592035. The mailing address for Signature Endodontics is 40a Edwardsville Prof Park, Edwardsville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Signature Endodontics |
|---|---|
| Address | 40a Edwardsville Prof Park, Edwardsville, Illinois |
| Phone Number | 6186592030 |
| Fax Number | 6186592035 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Benison P Roxanne |
| Credentials | DMD, MS |
| Telephone Number | 6186592030 |
NPI Number Detail
| NPI Number | 1891976825 |
|---|---|
| Provider Enumeration Date | 2007-11-19 |
| Last Updated Date | 2007-11-19 |
Provider Mailing Address Detail
| Address | 40a Edwardsville Prof Park |
|---|---|
| City | Edwardsville |
| State | Illinois (IL) |
| Post Code | 620253602 |
| Phone Number | 6186592030 |
| Fax Number | 6186592035 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
|
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the Signature Endodontics's 1891976825?
The Signature Endodontics's NPI (National Provider Identifier) Number is 1891976825. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Signature Endodontics is physically located?
The Signature Endodontics is situated at the following address: 40A Edwardsville Prof Park, Edwardsville, IL 620253602.
What is Signature Endodontics's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Signature Endodontics is Endodontics, and the taxonomy classification code that categorizes this area of expertise is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891976825 to Signature Endodontics?
The Signature Endodontics received its 1891976825 assignment from the Centers for Medicare & Medicaid Services on 2007-11-19.
As of what date were the details related to Signature Endodontics most recently updated or revised?
The information pertaining to Signature Endodontics, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-19.