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Southern Illinois University Edwardsville School of Dental Medicine

General Practice Dentistry in Alton, IL · enumerated 2005 · authorized official Debra Schwenk, Associate Dean for Clinical Affairs.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215912696

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Illinois University Edwardsville School of Dental Medicine
Practice address 2800 College Ave, Alton, IL, 62002
Fax (618) 474-7029
Enumeration date Dec 8, 2005
Last updated in NPPES Jul 10, 2007

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 19018978 (IL) Primary

Authorized official

Name Debra Schwenk
Title Associate Dean for Clinical Affairs

Other identifiers

Identifier Type State Issuer
19018978 Medicaid IL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Southern Illinois University Edwardsville School of Dental Medicine?
The NPI for Southern Illinois University Edwardsville School of Dental Medicine is 1215912696, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Southern Illinois University Edwardsville School of Dental Medicine?
NPPES lists Debra Schwenk (Associate Dean for Clinical Affairs) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-10.