National Provider Identifier Database

SOUTHERN ILLINOIS UNIVERSITY CARBONDALE DENTAL SEALANT PROGRAM
Dental Public Health

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.


Contact Information

SOUTHERN ILLINOIS UNIVERSITY CARBONDALE DENTAL SEALANT PROGRAM
1365 DOUGLAS DR RM 18
CASA, SAH, MC 6615
CARBONDALE, IL62901-2583
Phone: 618-453-7211
Fax: 618-453-7020
Website:
Specialty Taxonomy Code
* Dental Public Health 1223D0001X
Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for SOUTHERN ILLINOIS UNIVERSITY CARBONDALE DENTAL SEALANT PROGRAM

NPI Number 1053582189
Legal business name
LBN
SOUTHERN ILLINOIS UNIVERSITY CARBONDALE DENTAL SEALANT PROGRAM
Authorized official JENNIFER KREID - (DSGP PROGRAM COORDINATOR)
Entity Organization
Organization subpart Yes
Enumeration date 03/17/2008
Last updated 06/03/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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