Southern Illinois University Edwardsville School Of Dental Medicine
Dental Clinic
2800 College Ave, Alton
Illinois, 62002-4700
618-474-7080 618-474-7029
Maps & DirectionsSouthern Illinois University Edwardsville School Of Dental Medicine is a Dental Clinic in Alton, Illinois. It is located at 2800 College Ave, Alton, IL and its contact number is 618-474-7080. The authorized person for Southern Illinois University Edwardsville School Of Dental Medicine is Dr. Debra M Schwenk
who is Associate Dean For Clinical Affairs of the clinic and their contact number is 618-474-7080. The primary license number for Southern Illinois University Edwardsville School Of Dental Medicine is 19018978 (General Practice) in Illinois.
Southern Illinois University Edwardsville School Of Dental Medicine Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Southern Illinois University Edwardsville School Of Dental Medicine 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 Edwardsville School Of Dental Medicine |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 2800 College Ave, Alton,
Illinois, 62002-4700 |
| Phone: | 618-474-7080 |
| Fax: | 618-474-7029 |
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: | Dr. Debra M Schwenk |
| Position: | Associate Dean For Clinical Affairs |
| Contact Number: | 618-474-7080 |
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 Edwardsville School Of Dental Medicine clinic are as mentioned below.
| NPI Number: | 1215912696 |
| NPI Enumeration Date: | 08 Dec, 2005 |
| NPI Last Update On: | 10 Jul, 2007 |
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 Edwardsville School Of Dental Medicine are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 19018978 | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 19018978 | Medicaid | Illinois | |
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 Edwardsville School Of Dental Medicine
2800 College Ave,
Alton, Illinois |
| Zip: | 62002-4700 |
| Phone Number: | 618-474-7080 |
| Fax Number: | 618-474-7029 |
Patients can reach Southern Illinois University Edwardsville School Of Dental Medicine at
2800 College Ave, Alton, Illinois or can
call to book an appointment on 618-474-7080.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.