SOUTHERN ILLINOIS PEDIATRIC DENTISTRY OF EDWARDSVILLE is a pediatric dentistry dentist in Edwardsville, IL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. SOUTHERN ILLINOIS PEDIATRIC DENTISTRY OF EDWARDSVILLE NPI is 1568925014. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1419 LEWIS ROAD
SUITE 2
EDWARDSVILLE, IL
ZIP 62025
Phone: (618) 655-3272
Fax: (618) 655-3273
The provider's authorized official is Christine Anne Wohlford .
The authorized official title is Dentist/member and has the following contact phone number (618) 655-3272.
The enumeration date for this NPI number is 4/11/2019 and was last updated on 4/11/2019.