Signature Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

SIGNATURE ENDODONTICS

Practice address

40A Edwardsville Prof Park
Edwardsville, IL 62025-3602

Phone

(618) 659-2030

Fax

(618) 659-2035

NPI assigned

Nov 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roxanne P Benison, DMD, MSNPI 1285651703

Title

President

Phone

(618) 659-2030

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roxanne Patricia Benison, DMD MS

  • Endodontics
  • Glen Carbon, IL
  • NPI 1285651703
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1891976825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40A EDWARDSVILLE PROF PARK",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253602",
            "telephone_number": "618-659-2030",
            "fax_number": "618-659-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40A EDWARDSVILLE PROF PARK",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253602",
            "telephone_number": "618-659-2030",
            "fax_number": "618-659-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "BENISON",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-659-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vipinchandra K Shah
• Taylor Paris Sharp, RN, BSN
• Shawnee Behavioral Consultation LLC
• Gabriela Shea
• Brian Shin, DDS
• Amanda Sile
• Hannah M Simpson, RNC-BSN
• Anozha B Singletary, RN
• Cassandra Sissom, L.P.C., L.C.P.C.
• Siu Dental Associates

• Endodontics in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Endodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.