Organization · Type 2 NPI

Gateway Dental Group of Illinois LLC

Dentist · Collinsville, IL

NPI number 1639665359 Active

Practice location

93 Crestmoor
Collinsville, IL 62234

Mailing address

4905 Stone Falls Center
O'fallon, IL 62269

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XNone 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 1639665359

Gateway Dental Group of Illinois LLC's National Provider Identifier is 1639665359, issued on Jul 5, 2018. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Collinsville, IL. The record was last updated on Jul 6, 2018.