Provider Type Icon

ERNESTO A VILLALOBOS DDS MS LLC NPI 1528400371


NPI Information

NPI: 1528400371
Provider Name: ERNESTO A VILLALOBOS, DDS, MS, LLC
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
1318 MERIDEN ST
MENDOTA, IL
ZIP 61342
Phone: (815) 539-3000
Get Directions

ERNESTO A VILLALOBOS, DDS, MS, LLC is a dentist in Mendota, IL. The provider is 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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. ERNESTO A VILLALOBOS, DDS, MS, LLC NPI is 1528400371. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1318 MERIDEN ST
MENDOTA, IL
ZIP 61342-030
Phone: (815) 539-3000

The provider's authorized official is Ernesto A Villalobos .
The authorized official title is President and has the following contact phone number (815) 875-3032.

The enumeration date for this NPI number is 7/22/2013 and was last updated on 12/8/2013.


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
1122300000XDentist2901018233MICHIGANNo
2122300000XDentist019026098ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19177123MEDICAIDILLINOIS

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: 5/5/2024

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.