Organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Other names
Sunset Hills Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Authorized official
ERIKA DAVIS (CREDENTIALING COORDINATOR)
(217) 540-8434
Entity
Organization
Contact information
Practice address
87 MAGNOLIA DR, GLEN CARBON, IL 62025-1535
(618) 692-9980
(618) 692-9905
Mailing address
2 CLUB CENTRE COURT, EDWARDSVILLE, IL 62025
(618) 692-9980
(618) 692-9905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
10/31/2024
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