Southern Illinois University Carbondale Dental Sealant Program
Dental Clinic | Clinic/center
1365 Douglas Dr Rm 18, Casa, Sah, Mc 6615, Carbondale
Illinois, 62901-2583
618-453-7211 618-453-7020
Maps & DirectionsSouthern Illinois University Carbondale Dental Sealant Program is a Clinic/center (Dental) Clinic in Carbondale, Illinois. This organization is also known as sub part of Southern Illinois University Carbondale. It is located at 1365 Douglas Dr Rm 18, Casa, Sah, Mc 6615, Carbondale, IL and its contact number is 618-453-7211. The authorized person for Southern Illinois University Carbondale Dental Sealant Program is Jennifer R Kreid
who is Dsgp Program Coordinator of the clinic and their contact number is 618-453-8823.
Southern Illinois University Carbondale Dental Sealant Program Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Southern Illinois University Carbondale Dental Sealant Program Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Southern Illinois University Carbondale Dental Sealant Program |
| Specialization: | Dental, Clinic/center |
| Clinic Address: | 1365 Douglas Dr Rm 18, Casa, Sah, Mc 6615, Carbondale,
Illinois, 62901-2583 |
| Phone: | 618-453-7211 |
| Fax: | 618-453-7020 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Jennifer R Kreid |
| Position: | Dsgp Program Coordinator |
| Contact Number: | 618-453-8823 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southern Illinois University Carbondale Dental Sealant Program clinic are as mentioned below.
| NPI Number: | 1053582189 |
| Parent Organization: | Southern Illinois University Carbondale |
| NPI Enumeration Date: | 17 Mar, 2008 |
| NPI Last Update On: | 03 Jun, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern Illinois University Carbondale Dental Sealant Program are as mentioned below.
| Specialization | License Number | State | Status | |
| Dental Public Health | | | Primary | |
| Dental | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Southern Illinois University Carbondale Dental Sealant Program
1365 Douglas Dr Rm 18, Casa, Sah, Mc 6615
Carbondale, Illinois |
| Zip: | 62901-2583 |
| Phone Number: | 618-453-7211 |
| Fax Number: | 618-453-7020 |
Patients can reach Southern Illinois University Carbondale Dental Sealant Program at
1365 Douglas Dr Rm 18, Casa, Sah, Mc 6615, Carbondale, Illinois or can
call to book an appointment on 618-453-7211.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.