SPRINGFIELD PERIODONTICS LLC is a periodontics dentist in Springfield, IL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. SPRINGFIELD PERIODONTICS LLC NPI is 1649342999. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
2025 W ILES AVE SPRINGFIELD, IL ZIP 62704-190 Phone: (217) 787-6761 Fax: (217) 787-6611
The provider's authorized official is James William Davis . The authorized official title is Periodontist and has the following contact phone number (217) 787-6761.
The enumeration date for this NPI number is 11/14/2006 and was last updated on 8/22/2020.
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:
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: 11/21/2025
NPI Synchronization or Removal
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