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

SIU Dental Associates

Organization Dentist · NPI 1659957850

SIU Dental Associates is a Dentist in Edwardsville, Illinois. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3

Practice location Address checks out

195 University Park Dr
Edwardsville, IL 62025-3645
Phone: (618) 650-5781
Fax: (618) 650-5790
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dentist Taxonomy 122300000X
Oral and Maxillofacial Pathology Dentistry Taxonomy 1223P0106X

Record details

NPI number1659957850
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Phelps — Business Manager · (618) 474-7104
NPI enumeratedMarch 19, 2021
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address2800 College Ave, Bldg 273, Alton, IL 62002-4700

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