SearchIllinois1223G0001X

Lucas Winebaugh, DMD

NPI 1023677218 · on the registry since 2019

Practice

Address
2800 College Ave
Alton, IL 62002
Phone
(618) 474-7000
Organisation at this address
Southern Illinois University Edwardsville School Of Dental Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address
74

Additional practice sites

  • 922 Meramec Station Rd, Valley Park, MO

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-07-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois