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Springfield Periodontics Llc
Periodontist in Springfield, Illinois
NPI 1649342999

Springfield Periodontics Llc is a Periodontist based in Springfield, IL and is specialized in Periodontics. Springfield Periodontics Llc practices in Springfield, IL. The NPI Number for Springfield Periodontics Llc is 1649342999 and holds a License No. (Illinois).

The current practice location address for Springfield Periodontics Llc is 2025 W Iles Ave, Springfield, IL and can be reached out via phone at 217-787-6761 and via fax at 217-787-6611. You can also correspond with Springfield Periodontics Llc through the mailing address at 2025 W ILES AVE, SPRINGFIELD, IL - 62704-4190 (mailing address contact number: 217-787-6761).

Location: 2025 W Iles Ave, Springfield, IL, 62704-4190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649342999
Provider Name
Springfield Periodontics Llc
Credential
Provider Entity Type
Organization
Address
2025 W Iles Ave, Springfield, IL, 62704-4190
Phone Number
217-787-6761
Fax Number
217-787-6611
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2025 W Iles Ave
City
Springfield
State
Illinois
Zip
62704-4190
Phone Number
217-787-6761
Fax Number
217-787-6611
person
Provider Business Mailing Address Details
Address
2025 W Iles Ave
City
Springfield
State
Illinois
Zip
62704-4190
Phone Number
217-787-6761
Fax Number
217-787-6611
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
()
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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