# WOHLFORD-SCHUETTE DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Illinois Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821462052
- **Authorized official:** DR. CHRISTINE ANNE WOHLFORD DMD, MS (OWNER/MEMBER)
- **Authorized official phone:** (618) 791-2794

## Contact information

- **Practice address:** 1320 COLUMBIA CTR, COLUMBIA, IL 62236-2561
- **Practice address phone:** (618) 719-2400
- **Mailing address:** 1320 COLUMBIA CTR, COLUMBIA, IL 62236-2561
- **Mailing address phone:** (618) 719-2400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 019028314 | IL | Yes |

## Other

- **Enumeration date:** 11/27/2015
- **Last updated:** 11/27/2015