Organization · Type 2 NPI

Jerseyville Dental Group LLC

Dentist · Jerseyville, IL

NPI number 1386414290 Active

Practice location

105 S State St
Jerseyville, IL 62052-1850

Fax (618) 498-5822

Other practice locations

  • 913 S State St, Jerseyville, IL 62052-2344 · (618) 498-5822
  • 308 S Washington St, Jerseyville, IL 62052-1672 · (618) 498-3621

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1386414290

Jerseyville Dental Group LLC's National Provider Identifier is 1386414290, issued on Jan 3, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Jerseyville, IL. The record was last updated on Sep 22, 2026.