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BELLEVILLE DENTAL CARE NPI 1093288524


NPI Information

NPI: 1093288524
Provider Name: BELLEVILLE DENTAL CARE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 14D2167604

Address:
3503 N BELT W
BELLEVILLE, IL
ZIP 62226
Phone: (618) 233-3503
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BELLEVILLE DENTAL CARE is a general practice dentist in Belleville, IL. The provider is 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. BELLEVILLE DENTAL CARE NPI is 1093288524. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3503 N BELT W
BELLEVILLE, IL
ZIP 62226-959
Phone: (618) 233-3503

The provider's authorized official is Ronald Greif .
The authorized official title is Owner/dentist and has the following contact phone number (618) 233-3503.

The CLIA number assigned to this NPI record is 14D2167604 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2019 and was last updated on 1/8/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.