Southern Illinois University Carbondale is a renowned Dental office in Carbondale, Illinois. This organization is also known as sub part of Southern Illinois University Carbondale. It is located at 1365 Douglas Drive, Carbondale, IL and its contact number is 618-453-2353. The authorized person for Southern Illinois University Carbondale is Lauren Cripps
who is Dentist of the place and their contact number is 618-453-2353. The primary license number for Southern Illinois University Carbondale is 019024395 (Dental) in Illinois.
Southern Illinois University Carbondale Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Southern Illinois University Carbondale Office 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 |
| Specialization: | Dentistry |
| Address: | 1365 Douglas Drive, Carbondale,
Illinois, 62901 |
| Phone: | 618-453-2353 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
| Name: | Lauren Cripps |
| Position: | Dentist |
| Contact Number: | 618-453-2353 |
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 Office are as mentioned below.
| NPI Number: | 1962674788 |
| Parent Organization: | Southern Illinois University Carbondale |
| NPI Enumeration Date: | 01 Apr, 2008 |
| NPI Last Update On: | 24 Sep, 2021 |
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 are as mentioned below.
| Specialization | License Number | State | Status | |
| Dental | 019024395 | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the Office such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1184615866 | Medicaid | Illinois | |
| 019.032439 | Medicaid | Illinois | |
| 1295716959 | Medicaid | Illinois | |
| 1023008364 | 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 Carbondale
1365 Douglas Drive,
Carbondale, Illinois |
| Zip: | 62901 |
| Phone Number: | 618-453-2353 |
Patients can reach Southern Illinois University Carbondale at
1365 Douglas Drive, Carbondale, Illinois or can
call to book an appointment on 618-453-2353.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.