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SIU DENTAL ASSOCIATES
NPI 1659957850
Dentist - General Practice in Edwardsville, IL

Active since March 19, 2021
195 UNIVERSITY PARK DR, EDWARDSVILLE, IL 62025(618) 650-5781(618) 650-5790 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Mar 19, 2021 (2 updates tracked since 2021).

About Siu Dental Associates NPPES

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

SIU DENTAL ASSOCIATES (NPI 1659957850) is a healthcare organization registered as a general practice in Edwardsville, Illinois and active in the NPI registry since March 2021. The organization lists Elizabeth Noel Phelps, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1659957850
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSIU DENTAL ASSOCIATES
Location Address195 UNIVERSITY PARK DREdwardsville, IL 62025-3645
Mailing Address2800 College Ave, Bldg 273Alton, IL 62002-4700 · (618) 474-7100 · Fax (618) 474-7150
Phone(618) 650-5781
Fax(618) 650-5790
Organization SubpartNo
Authorized OfficialElizabeth Noel PhelpsBusiness Manager · (618) 474-7104
Enumeration DateMarch 19, 2021
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1659957850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
Also ListedDentistTaxonomy 122300000X
Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X
195 UNIVERSITY PARK DR, Edwardsville, IL 62025
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

ALYSSA HELDAK
Student in an Organized Health Care Education/Training Program
195 UNIVERSITY PARK DR
EDWARDSVILLE, IL 62025
Madison County (618) 650-5688
CONOR FORD SRNA
Student in an Organized Health Care Education/Training Program
195 UNIVERSITY PARK DR
EDWARDSVILLE, IL 62025
Madison County (618) 650-3705
DR. DEBRA ANN DIXON DMD
Dentist (Oral and Maxillofacial Radiology)
195 UNIVERSITY PARK DR
EDWARDSVILLE, IL 62025
Madison County (618) 650-5781
NICOLAS JACOB NOBBE
Student in an Organized Health Care Education/Training Program
195 UNIVERSITY PARK DR
EDWARDSVILLE, IL 62025
Madison County (618) 650-3957

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 Siu Dental Associates's NPI number?

The NPI number for Siu Dental Associates is 1659957850. It was assigned to this organization in the NPPES registry on March 19, 2021.

Where is Siu Dental Associates located?

Siu Dental Associates is located at 195 University Park Dr, Edwardsville, IL 62025. The listed phone number is (618) 650-5781.

What is Siu Dental Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Siu Dental Associates was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.