Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lewis and Clark Community College

Organization Dentist · NPI 1497746077

Lewis and Clark Community College is a Dentist in Godfrey, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005

Practice location Address checks out

5800 Godfrey Rd
Godfrey, IL 62035-2466
Phone: (618) 468-4463
Fax: (618) 468-4408
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (IL)

Record details

NPI number1497746077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Miller — Clinic Supervisor · (618) 468-4414
Other names Lewis And Clark Community College Dental Hygiene Clinic
NPI enumeratedNovember 2, 2005
Last updated in NPPESAugust 22, 2020
Mailing address5800 Godfrey Rd, Godfrey, IL 62035-2466

Other providers in Godfrey