Southern Illinois University Edwardsville School Of Dental Medicine
LBN: Southern Illinois University Edwardsville School Of Dental Medicine
Southern Illinois University Edwardsville School Of Dental Medicine is an health care organization with primary practice located at 2800 College Ave , Alton IL 62002-4700. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Southern Illinois University Edwardsville School Of Dental Medicine can be contacted via phone (618) 474-7080, or through Schwenk, Debra M via phone (618) 474-7080.
Contact Information
Primary practice address
2800 College Ave
Alton IL 62002-4700
Phone: (618) 474-7080
Fax: (618) 474-7029
Website:
Authorized official contact:
Name: Schwenk, Debra M Doctor of Dental Medicine (DMD)
Phone: (618) 474-7080
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 19018978 | Illinois |
Profile Details
| NPI number | 1215912696 |
|---|---|
| LBN Legal business name | Southern Illinois University Edwardsville School Of Dental Medicine |
| DBA Doing business as | |
| Authorized official | Schwenk, Debra M Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Jul 10th, 2007 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215912696 | NPPES |
| Illinois | MEDICAID | 19018978 |
Popular Providers
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Dental Professionals Of Illinois, P.C.
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Park Cedar Dentistry Partnership
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Scott M. Wolter Dmd Pc
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Can Community Health, Inc.
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Milan Dental Associates, D.D.S., P.C.
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Tuan D Pham Dmd & Joseph A Maloney Dds, Llc
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Arrowhead Dental Associates
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James Reinersman Llc
2524 State St , Alton IL 62002-5148