Southern Illinois Family Dentistry LLC

NPI #1467347732 in Eldorado, Illinois

Provider Information

NPI Number: 1467347732
Entity Type: Organization
Organization Name: Southern Illinois Family Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: Jun 9, 2025
Last Updated: Jun 9, 2025

Practice Location

Address: 1030 4TH ST
City: Eldorado
State: Illinois
ZIP Code: 62930-1702
Phone: (618) 273-9361

Authorized Official

Name: EMILY RUBENACKER
Title: DENTIST
Phone: (618) 841-6431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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