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Contact Information

ENDODONTICS OF SPRINGFIELD
997 CLOCK TOWER DR STE C
SPRINGFIELD, IL62704-1399
 Phone: 217-670-0462
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ENDODONTICS OF SPRINGFIELD · (Female)

NPI # 1134782592
Status Active
Credentials
Entity Individual
Enumeration date 04/20/2019
Last updated 04/20/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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