EDWARDSVILLE FAMILY DENTIST is a dental clinic center in Edwardsville, IL. EDWARDSVILLE FAMILY DENTIST NPI is 1063899417. The provider is registered as an organization entity type.
The provider's business location address is:
1811 LINDENWOOD AVE
EDWARDSVILLE, IL
ZIP 62025-580
Phone: (618) 659-0456
The provider's authorized official is Beau G Moody .
The authorized official title is Dentist/owner and has the following contact phone number (618) 659-0456.
The enumeration date for this NPI number is 5/5/2015 and was last updated on 7/24/2023.