IndividualActive
Abdul Junidi, D.D.S.
NPI 1396894093 · General Practice Dentistry · Centralia, IL
Provider details
- NPI number
- 1396894093
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2004026472 (MO)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1035 E Jonas St
Centralia, IL 62801-3309
Phone: (618) 533-6709
Fax: (618) 545-1047
Approximate (ZIP-level) locationGet directions
Mailing address
1035 E. Jonas Ave
Centralia, IL 62801
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.