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Contact Information

EFFINGHAM ENDODONTIST
107 S 3RD ST LOWR LEVEL
EFFINGHAM, IL62401-3632
 Phone: 217-663-6292
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for EFFINGHAM ENDODONTIST

NPI # 1871304055
LBN Legal business name EFFINGHAM ENDODONTIST
Authorized official CLAIRE LUSTIG - (OWNER ENDODONTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2025
Last updated 07/10/2025 - About 11 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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