| Meridian View Family Dental | |
|
2133 South Illinois Route 157 Edwardsville IL 62025 | |
| (618) 656-2006 | |
| (618) 656-2066 |
| Full Name | Meridian View Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 2133 South Illinois Route 157, Edwardsville, Illinois |
| Authorized Official Name and Position | Amanda Henderson (BUSINESS ASSISTANT) |
| Authorized Official Contact | 6182886201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian View Family Dental 26 Ginger Creek Pkwy Po Box 430 Glen Carbon IL 62034-3502 Ph: (618) 288-6201 | Meridian View Family Dental 2133 South Illinois Route 157 Edwardsville IL 62025 Ph: (618) 656-2006 |
| NPI Number | 1629240569 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 05/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629240569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019025159 (Illinois) | Primary |
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