“Dental Clinic/center” (Carbondale, IL)

Location: Carbondale, IL
Taxonomy: Dental Clinic/center.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.

1053582189 — SOUTHERN ILLINOIS UNIVERSITY CARBONDALE DENTAL SEALANT PROGRAM

Practice Location Address:

1365 DOUGLAS DR RM 18 CASA, SAH, MC 6615
CARBONDALE IL
62901-2583

Practice Phone: 618-453-7211

1053582189 mobile

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1720250939 — SOUTHERN ILLINOIS UNIVERSITY CARBONDALE

Practice Location Address:

1365 DOUGLAS DR COLLEGE OF APPLIED SCIENCES/SCHOOL OF ALLIED HEALTH
CARBONDALE IL
62901-6615

Practice Phone: 618-453-7241

1720250939 mobile

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1962674788 — SOUTHERN ILLINOIS UNIVERSITY CARBONDALE

Practice Location Address:

1365 DOUGLAS DRIVE
CARBONDALE IL
62901

Practice Phone: 618-453-2353

1962674788 mobile

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