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SCHREDER FAMILY DENTAL NPI 1104254960


NPI Information

NPI: 1104254960
Provider Name: SCHREDER FAMILY DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4023 N ILLINOIS ST
SWANSEA, IL
ZIP 62226
Phone: (618) 722-5300
Get Directions

SCHREDER FAMILY DENTAL is a general practice dentist in Swansea, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SCHREDER FAMILY DENTAL NPI is 1104254960. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4023 N ILLINOIS ST
SWANSEA, IL
ZIP 62226-931
Phone: (618) 722-5300

The provider's authorized official is Courtney N Eghigian .
The authorized official title is Office Mgr and has the following contact phone number (618) 722-5300.

The enumeration date for this NPI number is 10/14/2013 and was last updated on 10/14/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice019025128ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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