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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

NPI # 1891976825
LBN Legal business name SIGNATURE ENDODONTICS
Authorized official ROXANNE BENISON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/19/2007
Last updated 11/19/2007 - About 19 years 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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