Southern Illinois University Edwardsville School of Dental Medicine
NPI 1215912696 · General Practice Dentistry · Alton, IL
Southern Illinois University Edwardsville School of Dental Medicine is a General Practice Dentistry organization in Alton, IL (NPI 1215912696).
Provider details
- NPI number
- 1215912696
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Debra Schwenk, Associate Dean for Clinical Affairs(618) 474-7080
- License
- 19018978 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-08
- Last updated
- 2007-07-10
Frequently asked questions
- What is Southern Illinois University Edwardsville School of Dental Medicine's NPI number?
- Southern Illinois University Edwardsville School of Dental Medicine's National Provider Identifier (NPI) is 1215912696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Illinois University Edwardsville School of Dental Medicine?
- Southern Illinois University Edwardsville School of Dental Medicine is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Southern Illinois University Edwardsville School of Dental Medicine located?
- Southern Illinois University Edwardsville School of Dental Medicine's practice location on file with NPPES is 2800 College Ave, Alton, IL 62002-4700.
- What is Southern Illinois University Edwardsville School of Dental Medicine's phone number?
- The practice phone number listed in the NPPES registry for Southern Illinois University Edwardsville School of Dental Medicine is (618) 474-7080.
- Who is the authorized official for Southern Illinois University Edwardsville School of Dental Medicine?
- The authorized official listed on Southern Illinois University Edwardsville School of Dental Medicine's NPPES record is Debra Schwenk, Associate Dean for Clinical Affairs. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Illinois University Edwardsville School of Dental Medicine's NPI active?
- Yes — Southern Illinois University Edwardsville School of Dental Medicine's NPI (1215912696) is active in the NPPES registry as of the last update on 2007-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.