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MATT VANDERMOLEN DDS PC NPI 1841540168


NPI Information

NPI: 1841540168
Provider Name: MATT VANDERMOLEN DDS PC

Doing Business As: ADVANCED DENTAL CARE OF SPRINGFIELD

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4701 WABASH AVE
SPRINGFIELD, IL
ZIP 62711
Phone: (217) 546-3333
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MATT VANDERMOLEN DDS PC 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. MATT VANDERMOLEN DDS PC NPI is 1841540168. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Dental Care Of Springfield.

The provider's business location address is:

4701 WABASH AVE
SPRINGFIELD, IL
ZIP 62711-694
Phone: (217) 546-3333
Fax: (217) 546-1110

The provider's authorized official is Matt G Vandermolen .
The authorized official title is President and has the following contact phone number (217) 546-3333.

The enumeration date for this NPI number is 9/13/2012 and was last updated on 9/13/2012.


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 Practice019019785ILLINOISYes

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: 4/28/2024

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