Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LITTLE EGYPT PEDIATRIC DENTISTRY
Active
Organization
LITTLE EGYPT PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS CRIPPS (OWNER)
(618) 694-2110
Entity
Organization
Contact information
Practice address
1255 CEDAR CT, CARBONDALE, IL 62901-5335
(618) 319-4536
Mailing address
1255 CEDAR CT, CARBONDALE, IL 62901-5335
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers