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ENDODONTICS OF SPRINGFIELD NPI 1134782592


NPI Information

NPI: 1134782592
Provider Name: ENDODONTICS OF SPRINGFIELD
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
997 CLOCK TOWER DR STE C
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 670-0462
Get Directions

ENDODONTICS OF SPRINGFIELD is an endodontics dentist in Springfield, IL. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. ENDODONTICS OF SPRINGFIELD NPI is 1134782592. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

997 CLOCK TOWER DR STE C
SPRINGFIELD, IL
ZIP 62704-399
Phone: (217) 670-0462

The provider's authorized official is Andrew Martens .
The authorized official title is Owner and has the following contact phone number (217) 670-0462.

The enumeration date for this NPI number is 4/20/2019 and was last updated on 4/20/2019.


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
11223E0200XDentistEndodonticsYes

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: 4/28/2024

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