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SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE SCHOOL OF DENTAL MEDICINE
NPI 1760467146
Dentist in E St Louis, IL

Active since December 08, 2005
411 E BROADWAY, E ST LOUIS, IL 62201(618) 682-8318(618) 474-7029 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Illinois University Edwardsville School Of Dental Medicine NPPES

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

SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE SCHOOL OF DENTAL MEDICINE (NPI 1760467146) is a healthcare organization registered as a dentist in E St Louis, Illinois and active in the NPI registry since December 2005. The organization lists Dennis E Savoca, Associate Dean For Clinical Affairs, as its authorized official.

NPPES Registry Identity

NPI1760467146
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE SCHOOL OF DENTAL MEDICINE
Location Address411 E BROADWAYE St Louis, IL 62201-2904
Mailing Address2800 College AveAlton, IL 62002-4700 · (618) 474-7090 · Fax (618) 474-7029
Phone(618) 682-8318
Fax(618) 474-7029
Organization SubpartNo
Authorized OfficialDennis E SavocaAssociate Dean For Clinical Affairs · (618) 474-7090
Enumeration DateDecember 8, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760467146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 19018978
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
411 E BROADWAY, E St Louis, IL 62201
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Other Identifiers 1

Medicaid19018978IL

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

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 University Edwardsville School Of Dental Medicine's NPI number?

The NPI number for Southern Illinois University Edwardsville School Of Dental Medicine is 1760467146. It was assigned to this organization in the NPPES registry on December 8, 2005.

Where is Southern Illinois University Edwardsville School Of Dental Medicine located?

Southern Illinois University Edwardsville School Of Dental Medicine is located at 411 E Broadway, E St Louis, IL 62201. The listed phone number is (618) 682-8318.

What is Southern Illinois University Edwardsville School Of Dental Medicine's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Southern Illinois University Edwardsville School Of Dental Medicine was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.