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Southern Illinois University Carbondale

Dental Clinic/Center in Carbondale, IL · enumerated 2008 · authorized official Ronda Demattei, Assoc. Prof./Dental Hygiene Program.

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

National Provider Identifier

1720250939

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Illinois University Carbondale
Other name <Unavail>
Practice address 1365 Douglas Dr, College of Applied Sciences/School of Allied Health, Carbondale, IL, 62901
Phone (618) 453-7241
Fax (618) 453-7020
Enumeration date Mar 27, 2008
Last updated in NPPES Mar 27, 2008

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Ronda Demattei
Title Assoc. Prof./Dental Hygiene Program
Phone (618) 453-7298

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

Who is the authorized official for Southern Illinois University Carbondale?
NPPES lists Ronda Demattei (Assoc. Prof./Dental Hygiene Program) as the authorized official for this organization.
What is the NPI number for Southern Illinois University Carbondale?
The NPI for Southern Illinois University Carbondale is 1720250939, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-27.