| Little Egypt Pediatric Dentistry | |
|
1255 Cedar Ct Carbondale IL 62901-5335 | |
| (618) 319-4536 | |
| Not Available |
| Full Name | Little Egypt Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1255 Cedar Ct, Carbondale, Illinois |
| Authorized Official Name and Position | Travis Cripps (OWNER) |
| Authorized Official Contact | 6186942110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Egypt Pediatric Dentistry 1255 Cedar Ct Carbondale IL 62901-5335 Ph: () - | Little Egypt Pediatric Dentistry 1255 Cedar Ct Carbondale IL 62901-5335 Ph: (618) 319-4536 |
| NPI Number | 1285377036 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285377036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Southern Illinois University Carbondale Dental Sealant Program Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1365 Douglas Dr Rm 18, Casa, Sah, Mc 6615, Carbondale, IL 62901 Phone: 618-453-7211 Fax: 618-453-7020 | |
Oakland Dental Care P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 S Oakland Ave, Carbondale, IL 62901 Phone: 618-549-2166 Fax: 618-529-4128 | |