GREEN MOUNT DENTAL LLC NPI 1306212170

NPI Information

  • NPI: 1306212170
  • Provider Name: GREEN MOUNT DENTAL, LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: PARKWAY SMILE CENTER
  • Address: 2810 FRANK SCOTT PKWY W STE 800
    BELLEVILLE, IL
    ZIP 62223
  • Phone: (618) 235-9696

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NPI Details

GREEN MOUNT DENTAL, LLC 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. GREEN MOUNT DENTAL, LLC NPI is 1306212170. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Parkway Smile Center.

The provider's business location address is:

2810 FRANK SCOTT PKWY W STE 800
BELLEVILLE, IL
ZIP 62223-007
Phone: (618) 235-9696

The provider's authorized official is David Guilbeault .
The authorized official title is Owner/dentist and has the following contact phone number (618) 643-9523.

The enumeration date for this NPI number is 8/17/2015 and was last updated on 7/21/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 3/30/2025

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