Organization · Type 2 NPI

Dental Professionals of Illinois, P.c.

General Practice Dentistry · Alton, IL

NPI number 1447472790 Active

Practice location

3430 College Avenue
Alton, IL 62002

Fax (618) 465-5504

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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NPI record

NPI: 1447472790
Entity type: Organization (Type 2)
Issued: May 3, 2007
Last updated: Jan 7, 2014
Status: Active
Subpart: Yes of Dental Professionals of Illinois, P.c.

Other names

<unavail>
College Avenue Family Dentistry · doing business as

Authorized official

Lindsay Bearden
Ins Cood
(217) 540-5100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1447472790

Dental Professionals of Illinois, P.c.'s National Provider Identifier is 1447472790, issued on May 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Alton, IL. The record was last updated on Jan 7, 2014.