institution
Southern Illinois University Carbondale Dental Sealant Program
Dental Clinic/Center in Carbondale, Illinois
NPI 1053582189

Southern Illinois University Carbondale Dental Sealant Program is a Dental Clinic/Center based in Carbondale, IL and is specialized in Dental. Southern Illinois University Carbondale Dental Sealant Program practices in Carbondale, IL. The NPI Number for Southern Illinois University Carbondale Dental Sealant Program is 1053582189 and holds a License No. (Illinois).

The current practice location address for Southern Illinois University Carbondale Dental Sealant Program is 1365 Douglas Dr Rm 18, Carbondale, IL and can be reached out via phone at 618-453-7211 and via fax at 618-453-7020. You can also correspond with Southern Illinois University Carbondale Dental Sealant Program through the mailing address at 1365 DOUGLAS DR RM 18, CARBONDALE, IL - 62901-2583 (mailing address contact number: 618-453-7211).

Location: 1365 Douglas Dr Rm 18, Carbondale, IL, 62901-2583
institution
Provider Profile Details
NPI Number
1053582189
Provider Name
Southern Illinois University Carbondale Dental Sealant Program
Credential
Provider Entity Type
Organization
Address
1365 Douglas Dr Rm 18, Carbondale, IL, 62901-2583
Phone Number
618-453-7211
Fax Number
618-453-7020
Provider Enumeration Date
03/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1365 Douglas Dr Rm 18
City
State
Zip
62901-2583
Phone Number
618-453-7211
Fax Number
618-453-7020
person
Provider Business Mailing Address Details
Address
1365 Douglas Dr Rm 18
City
State
Zip
62901-2583
Phone Number
618-453-7211
Fax Number
618-453-7020
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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