Signature Endodontics

NPI #1891976825 in Edwardsville, Illinois

Provider Information

NPI Number: 1891976825
Entity Type: Organization
Organization Name: Signature Endodontics
Primary Specialty: Dentist - Endodontics
Enumeration Date: Nov 19, 2007
Last Updated: Nov 19, 2007

Practice Location

Address: 40A EDWARDSVILLE PROF PARK
City: Edwardsville
State: Illinois
ZIP Code: 62025-3602
Phone: (618) 659-2030

Authorized Official

Name: DR. ROXANNE P BENISON, DMD, MS
Title: PRESIDENT
Phone: (618) 659-2030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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