DR. RICHARD WILLIAM ALCORN (NPI# 1063564938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063564938 |
| Entity Type | Individual |
| Full Name | DR. RICHARD WILLIAM ALCORN |
| Credential | DDS |
| Practice Address |
2871 Stanton St Springfield IL 62703-5508 |
| Practice Telephone | 2175292999 |
| Mailing Telephone | 2175292999 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
IL | Dental Providers |
| Street Address |
2871 STANTON ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-5508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669960027 | New England Family Dentistry,pc | Dentist | 366 Cooley St, Springfield, MA 01128-1144 | 2018-05-01 |
| 1841739588 | Dr. Shahid Aziz Oral and Maxillofacial Surgery LLC | Dentist | 118 Mapes Ave, Springfield, NJ 07081-3220 | 2017-02-14 |
| 1740490648 | Phuong Ngoc Nguyen | Dentist | 9328 Castle Hill Rd, Springfield, VA 22153-3900 | 2007-05-22 |
| 1699892042 | Phllip M. Jensen | Dentist | 2606 Marketplace Dr, Springfield, IL 62702-1467 | 2007-03-22 |
| 1881760254 | Barry Richard Wolinsky | Dentist | 493 Morris Ave, Springfield, NJ 07081-1061 | 2006-11-28 |
| 1487725719 | Roy Peter Guerin IIi | Dentist | 2530 Game Farm Rd, Springfield, OR 97477-7513 | 2006-11-10 |
| 1598876260 | Kevin Louis Trombly | Dentist | 1575 Wilbraham Rd, Springfield, MA 01119 | 2006-08-31 |
| 1346352218 | Louis Dennis Scannura | Dentist | 3007 Spring Mill Dr, Springfield, IL 62704-6558 | 2006-08-31 |
| 1295773042 | Margo J Freedberg | Dentist | 475 Morris Ave, Springfield, NJ 07081-1005 | 2006-06-03 |
| 1033188842 | James A Maxwell Jr. | Dentist | 2210 Olympic St, Springfield, OH 45503-2737 | 2006-03-15 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.