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3-D IMAGING OF SOUTHERN ILLINOIS INC. NPI 1124280706


NPI Information

NPI: 1124280706
Provider Name: 3-D IMAGING OF SOUTHERN ILLINOIS, INC.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5899 N BELT W
SUITE B
BELLEVILLE, IL
ZIP 62226
Phone: (618) 222-1722
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3-D IMAGING OF SOUTHERN ILLINOIS, INC. is a dental clinic center in Belleville, IL. 3-D IMAGING OF SOUTHERN ILLINOIS, INC. NPI is 1124280706. The provider is registered as an organization entity type.

The provider's business location address is:

5899 N BELT W
SUITE B
BELLEVILLE, IL
ZIP 62226-617
Phone: (618) 222-1722

The provider's authorized official is Donald K Burden .
The authorized official title is President and has the following contact phone number (618) 222-1722.

The enumeration date for this NPI number is 6/25/2008 and was last updated on 6/25/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental19-13956ILLINOISYes

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: 11/14/2023

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