National Provider Identifier Database

EFFINGHAM ENDODONTIST
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

EFFINGHAM ENDODONTIST
107 S 3RD ST LOWR LEVEL
EFFINGHAM, IL62401-3632
Phone: 217-663-6292
Fax:
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for EFFINGHAM ENDODONTIST

NPI Number 1871304055
Legal business name
LBN
EFFINGHAM ENDODONTIST
Authorized official CLAIRE LUSTIG - (OWNER ENDODONTIST)
Entity Organization
Organization subpart No
Enumeration date 01/16/2025
Last updated 07/10/2025 - About 11 months 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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