Springfield Periodontics LLC
NPI #1649342999 in Springfield, Illinois
Provider Information
- NPI Number
- 1649342999
- Entity Type
- Organization
- Organization Name
- Springfield Periodontics LLC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Nov 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2025 W ILES AVE
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-4190
- Phone
- (217) 787-6761
Authorized Official
- Name
- DR. JAMES WILLIAM DAVIS, D.M.D.
- Title
- PERIODONTIST
- Phone
- (217) 787-6761
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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