institution
Southern Illinois University Carbondale
Dental Clinic/Center in Carbondale, Illinois
NPI 1720250939

Southern Illinois University Carbondale is a Dental Clinic/Center based in Carbondale, IL and is specialized in Dental. Southern Illinois University Carbondale practices in Carbondale, IL. The NPI Number for Southern Illinois University Carbondale is 1720250939 and holds a License No. (Illinois).

The current practice location address for Southern Illinois University Carbondale is 1365 Douglas Dr, Carbondale, IL and can be reached out via phone at 618-453-7241 and via fax at 618-453-7020. You can also correspond with Southern Illinois University Carbondale through the mailing address at 1365 DOUGLAS DR, CARBONDALE, IL - 62901-6615 (mailing address contact number: 618-453-7241).

Location: 1365 Douglas Dr, Carbondale, IL, 62901-6615
institution
Provider Profile Details
NPI Number
1720250939
Provider Name
Southern Illinois University Carbondale
Credential
Provider Entity Type
Organization
Address
1365 Douglas Dr, Carbondale, IL, 62901-6615
Phone Number
618-453-7241
Fax Number
618-453-7020
Provider Enumeration Date
03/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1365 Douglas Dr
City
State
Zip
62901-6615
Phone Number
618-453-7241
Fax Number
618-453-7020
person
Provider Business Mailing Address Details
Address
1365 Douglas Dr
City
State
Zip
62901-6615
Phone Number
618-453-7241
Fax Number
618-453-7020
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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