Elfatih Eisa

Dentist · Edwardsville, IL

Individual Active NPI

NPI number 1790511020

Practice location

8 Sunset Hills Professional Ctr
Edwardsville, IL 62025-3760
Phone
(618) 831-8041
Fax
(618) 831-8042

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NPI record

NPI
1790511020
Entity type
Individual (Type 1)
Enumeration date
September 12, 2024
Last updated
September 19, 2024
Certified
September 19, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019.035367 IL

About Elfatih Eisa

Elfatih Eisa is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 8 Sunset Hills Professional Ctr, Edwardsville, IL 62025-3760. The NPI number 1790511020 was assigned on September 12, 2024 and the record was last updated on September 19, 2024.

Elfatih Eisa lists a license in the registry: #019.035367 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Elfatih Eisa?

The NPI number is 1790511020.

What is the phone number of Elfatih Eisa?

The phone number listed for the practice location is (618) 831-8041.

Where is Elfatih Eisa located?

8 Sunset Hills Professional Ctr, Edwardsville, IL 62025-3760.

What is the taxonomy code for Elfatih Eisa?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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