Southern 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.