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DENTAL PROFESSIONALS OF ILLINOIS P.C. NPI 1255884623


NPI Information

NPI: 1255884623
Provider Name: DENTAL PROFESSIONALS OF ILLINOIS, P.C.

Doing Business As: DENTAL CARE AT PRAIRIE CROSSING

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2740 PRAIRIE CROSSING DRIVE
SPRINGFIELD, IL
ZIP 62711
Phone: (217) 953-0891
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DENTAL PROFESSIONALS OF ILLINOIS, P.C. is a general practice dentist in Springfield, 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. DENTAL PROFESSIONALS OF ILLINOIS, P.C. NPI is 1255884623. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dental Care At Prairie Crossing.

The provider's business location address is:

2740 PRAIRIE CROSSING DRIVE
SPRINGFIELD, IL
ZIP 62711
Phone: (217) 953-0891

The provider's authorized official is Kendra Walker .
The authorized official title is Credentialing Team Lead and has the following contact phone number (217) 540-8312.

The enumeration date for this NPI number is 8/2/2016 and was last updated on 9/21/2016.


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.