SOUTHERN ILLINOIS PEDIATRIC DENTISTRY OF EDWARDSVILLE
NPI 1568925014
Dentist - Pediatric Dentistry in Edwardsville, IL

Q: What is Southern Illinois Pediatric Dentistry Of Edwardsville's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since April 11, 2019

1419 LEWIS ROAD, SUITE 2, EDWARDSVILLE, IL 62025(618) 655-3272(618) 655-3273 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Southern Illinois Pediatric Dentistry Of Edwardsville NPPES

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

SOUTHERN ILLINOIS PEDIATRIC DENTISTRY OF EDWARDSVILLE (NPI 1568925014) is a healthcare organization registered as a pediatric dentistry in Edwardsville, Illinois and active in the NPI registry since April 2019. The organization lists Christine Anne Wohlford, Dentist/member, as its authorized official.

NPPES Registry Identity

NPI1568925014

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameSOUTHERN ILLINOIS PEDIATRIC DENTISTRY OF EDWARDSVILLE

Location Address1419 LEWIS ROAD, SUITE 2Edwardsville, IL 62025

Mailing Address1419 Lewis Road, Suite 2Edwardsville, IL 62025 · (618) 655-3272 · Fax (618) 655-3273

Phone(618) 655-3272

Fax(618) 655-3273

Organization SubpartNo

Authorized OfficialChristine Anne WohlfordDentist/member · (618) 655-3272

Enumeration DateApril 11, 2019

✔ NPI 1568925014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1419 LEWIS ROAD, Edwardsville, IL 62025

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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 ›

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 Southern Illinois Pediatric Dentistry Of Edwardsville's NPI number?

The NPI number for Southern Illinois Pediatric Dentistry Of Edwardsville is 1568925014. It was assigned to this organization in the NPPES registry on April 11, 2019.

Where is Southern Illinois Pediatric Dentistry Of Edwardsville located?

Southern Illinois Pediatric Dentistry Of Edwardsville is located at 1419 Lewis Road Suite 2, Edwardsville, IL 62025. The listed phone number is (618) 655-3272.

What is Southern Illinois Pediatric Dentistry Of Edwardsville's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Southern Illinois Pediatric Dentistry Of Edwardsville accept?

Health plans from UnitedHealthcare list Southern Illinois Pediatric Dentistry Of Edwardsville 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 Southern Illinois Pediatric Dentistry Of Edwardsville was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.