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Sipd Godfrey, Pllc
Pediatric Dentist in Godfrey, Illinois
NPI 1902669955

Sipd Godfrey, Pllc is a Pediatric Dentist based in Edwardsville, IL and is specialized in Pediatric Dentistry. Sipd Godfrey, Pllc practices in Godfrey, IL. The NPI Number for Sipd Godfrey, Pllc is 1902669955 and holds a License No. (Illinois).

The current practice location address for Sipd Godfrey, Pllc is 901 Lars Hoffman Xing, Godfrey, IL and can be reached out via phone at 618-481-3700.

Location: 901 Lars Hoffman Xing, Godfrey, IL, 62025-4100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902669955
Provider Name
Sipd Godfrey, Pllc
Credential
Provider Entity Type
Organization
Address
901 Lars Hoffman Xing, Godfrey, IL, 62025-4100
Phone Number
618-481-3700
Fax Number
Provider Enumeration Date
02/02/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
901 Lars Hoffman Xing
City
Godfrey
State
Illinois
Zip
62035-4217
Phone Number
618-481-3700
Fax Number
person
Provider Business Mailing Address Details
Address
901 Lars Hoffman Xing
City
Godfrey
State
Illinois
Zip
62035-4217
Phone Number
618-481-3700
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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