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ENDODONTICS OF EDWARDSVILLE PLLC
NPI 1487375549
Dentist - Endodontics in Glen Carbon, IL

Active since September 07, 2022
22 GLEN ED PROFESSIONAL PARK STE B, GLEN CARBON, IL 62034(618) 659-2030(217) 659-2035 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Endodontics Of Edwardsville Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENDODONTICS OF EDWARDSVILLE PLLC (NPI 1487375549), doing business as Signature Endodontics, is a healthcare organization registered as an endodontics in Glen Carbon, Illinois and active in the NPI registry since September 2022. The organization lists Andrew James Martens, Owner, as its authorized official.

NPPES Registry Identity

NPI1487375549
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameENDODONTICS OF EDWARDSVILLE PLLC
Location Address22 GLEN ED PROFESSIONAL PARK STE BGlen Carbon, IL 62034-3300
Mailing Address22 Glen Ed Professional Park Ste BGlen Carbon, IL 62034-3300 · (618) 659-2030
Phone(618) 659-2030
Fax(217) 659-2035
Organization SubpartNo
Authorized OfficialAndrew James MartensOwner · (309) 507-2877
Enumeration DateSeptember 7, 2022
NPPES CertifiedSeptember 7, 2022
✔ NPI 1487375549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
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.
22 GLEN ED PROFESSIONAL PARK STE B, Glen Carbon, IL 62034
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Other Names 1

Doing Business AsSignature Endodontics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KANIKA YADAV RYAN
Dentist (Endodontics)
22 GLEN ED PROFESSIONAL PARK STE B
GLEN CARBON, IL 62034
Madison County (618) 659-2030
DR. ROXANNE PATRICIA BENISON DMD MS
Dentist (Endodontics)
22 GLEN ED PROFESSIONAL PARK STE B
GLEN CARBON, IL 62034
Madison County (618) 659-2030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Endodontics Of Edwardsville PLLC's NPI number?

The NPI number for Endodontics Of Edwardsville PLLC is 1487375549. It was assigned to this organization in the NPPES registry on September 7, 2022. The provider is doing business as Signature Endodontics.

Where is Endodontics Of Edwardsville PLLC located?

Endodontics Of Edwardsville PLLC is located at 22 Glen Ed Professional Park Ste B, Glen Carbon, IL 62034. The listed phone number is (618) 659-2030.

What is Endodontics Of Edwardsville PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Endodontics Of Edwardsville PLLC accept?

Health plans from UnitedHealthcare list Endodontics Of Edwardsville PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Endodontics Of Edwardsville PLLC was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.