Southern Illinois University Carbondale
NPI 1962674788 · Dental Clinic/Center · Carbondale, IL
Southern Illinois University Carbondale is a Dental Clinic/Center organization in Carbondale, IL (NPI 1962674788).
Provider details
- NPI number
- 1962674788
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Southern Illinois University Carbondale
- Organization subpart
- Yes
- Authorized official
- Lauren Cripps, Dentist(618) 453-2353
- License
- 019024395 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Other names (DBA / former)
- Doing business as
- Community Dental Center
Registry dates
- Enumerated
- 2008-04-01
- Last updated
- 2021-09-24
- Certified
- 2021-09-24
Frequently asked questions
- What is Southern Illinois University Carbondale's NPI number?
- Southern Illinois University Carbondale's National Provider Identifier (NPI) is 1962674788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Illinois University Carbondale?
- Southern Illinois University Carbondale is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Illinois University Carbondale located?
- Southern Illinois University Carbondale's practice location on file with NPPES is 1365 Douglas Drive, Carbondale, IL 62901.
- What is Southern Illinois University Carbondale's phone number?
- The practice phone number listed in the NPPES registry for Southern Illinois University Carbondale is (618) 453-2353.
- Who is the authorized official for Southern Illinois University Carbondale?
- The authorized official listed on Southern Illinois University Carbondale's NPPES record is Lauren Cripps, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Illinois University Carbondale's NPI active?
- Yes — Southern Illinois University Carbondale's NPI (1962674788) is active in the NPPES registry as of the last update on 2021-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.