# RIVERBEND PEDIATRIC DENTISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770988594
- **Authorized official:** DR. ADAM MILES SNYDER DMD, MSD (MANAGING MEMBER)
- **Authorized official phone:** (618) 581-9201

## Contact information

- **Practice address:** 705 KANSAS ST, BETHALTO, IL 62010-1796
- **Practice address phone:** (618) 596-3725
- **Mailing address:** 705 KANSAS ST, BETHALTO, IL 62010-1796
- **Mailing address phone:** (618) 596-3725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 021002548 | IL | Yes |

## Other

- **Enumeration date:** 10/23/2014
- **Last updated:** 10/23/2014