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Southern Illinois University Edwardsville School of Dental Medicine

Dentist in E St Louis, IL · enumerated 2005 · authorized official Dennis Savoca, Associate Dean for Clinical Affairs.

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

National Provider Identifier

1760467146

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Illinois University Edwardsville School of Dental Medicine
Practice address 411 E Broadway, E St Louis, IL, 62201
Fax (618) 474-7029
Enumeration date Dec 8, 2005
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

122300000X Dentist Dental Providers · License 19018978 (IL) Primary

Authorized official

Name Dennis Savoca
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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Southern Illinois University Edwardsville School of Dental Medicine located?
The practice location on file with NPPES is in E St Louis, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.