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Contact Information

SIGNATURE ENDODONTICS
40A EDWARDSVILLE PROF PARK
EDWARDSVILLE, IL62025-3602
 Phone: 618-659-2030
 Fax: 618-659-2035
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for SIGNATURE ENDODONTICS · (Female)

NPI # 1891976825
Status Active
Credentials
Entity Individual
Enumeration date 11/19/2007
Last updated 11/19/2007 - About 19 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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