National Provider Identifier Database

ENDODONTICS OF EDWARDSVILLE PLLC
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

ENDODONTICS OF EDWARDSVILLE PLLC
22 GLEN ED PROFESSIONAL PARK STE B
GLEN CARBON, IL62034-3300
Phone: 618-659-2030
Fax: 217-659-2035
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for ENDODONTICS OF EDWARDSVILLE PLLC

NPI Number 1487375549
Legal business name
LBN
ENDODONTICS OF EDWARDSVILLE PLLC
Authorized official ANDREW MARTENS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/07/2022
Last updated 09/07/2022 - About 4 years 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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