Arch View Family Dental, PLLC
Organization Active NPI Dental Clinic/Center · Edwardsville, IL
NPI 1013570928 · NPPES record last updated Apr 16, 2019
Key facts
- NPI
- 1013570928
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- ARCH VIEW FAMILY DENTAL, PLLC
- Practice address
- 2133 S State Route 157
Edwardsville, IL 62025-3691 - Phone
- (618) 656-2006
- Fax
- (618) 656-2066
- NPI assigned
- Apr 16, 2019
- Organization subpart
- No
Authorized official
- Name
- Andrea Marie York
- Title
- Practice Admin
- Phone
- (618) 335-0430
National Provider Directory
Locations
2133 S State Route 157
Edwardsville, IL 62025
Phone (618) 650-8337
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
2133 S State Route 157
Edwardsville, IL 62025-3691
Mailing address
2133 S State Route 157
Edwardsville, IL 62025-3691
Phone (618) 656-2006
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720300585 | Other | IL | NPI |
| 19-028117 | Other | IL | STATE OF IL DENTAL LICENSE |
| 1649495458 | Other | IL | NPI |
| 19-025636 | Other | IL | STATE OF IL DENTAL LICENSE |
Other providers in Edwardsville, IL
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- Mark Arcega
- Melanie Renee Armstead-Williams
- Jaime Armstrong
- Micah Arps
- Catherine Louise Ash
- Kassidy Ashmann
All providers in Edwardsville, IL · Dental Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.