| Endodontics Of Edwardsville Pllc | |
|
22 Glen Ed Professional Park Ste B Glen Carbon IL 62034-3300 | |
| (618) 659-2030 | |
| (217) 659-2035 |
| Full Name | Endodontics Of Edwardsville Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 22 Glen Ed Professional Park Ste B, Glen Carbon, Illinois |
| Authorized Official Name and Position | Andrew James Martens (OWNER) |
| Authorized Official Contact | 3095072877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontics Of Edwardsville Pllc 22 Glen Ed Professional Park Ste B Glen Carbon IL 62034-3300 Ph: (618) 659-2030 | Endodontics Of Edwardsville Pllc 22 Glen Ed Professional Park Ste B Glen Carbon IL 62034-3300 Ph: (618) 659-2030 |
| NPI Number | 1487375549 |
|---|---|
| Provider Enumeration Date | 09/07/2022 |
| Last Update Date | 09/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487375549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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