SCHREDER FAMILY DENTAL (NPI# 1104254960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104254960 |
| Entity Type | Organization |
| Organization Name | SCHREDER FAMILY DENTAL |
| Practice Address |
4023 N Illinois St Swansea IL 62226-1931 |
| Practice Telephone | 6187225300 |
| Mailing Telephone | 6187225300 |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |
| Authorized Official Name | MS. COURTNEY N EGHIGIAN (OFFICE MGR) |
| Authorized Official Telephone | 6187225300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019025128 | IL | Dental Providers |
| Street Address |
4023 N ILLINOIS ST |
| City | SWANSEA |
| State | IL |
| Zip Code | 62226-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609396134 | Suthar, PC | Dentist | 533 Saint Matthews Rd, Swansea, SC 29160-8814 | 2017-06-26 |
| 1528314465 | Heritage Family Dentistry, LLC | Dentist | 533 Saint Matthews Road, Swansea, SC 29160 | 2012-07-30 |
| 1538318720 | Templer Dentistry, LLC | Dentist | 1010 G.a.r. Hyghway, Swansea, MA 02777 | 2008-09-12 |
| 1366614125 | Barrington Family Dental PC | Dentist | 2302 Gar Hwy, Swansea, MA 02777-3907 | 2008-04-01 |
| 1659402899 | Mary Anne Delcupolo Dds PC | Dentist | H2 Swansea Mall, Swansea, MA 02777 | 2007-03-08 |
| 1386798247 | Kevin Lee Shelton | Dentist | 500 Fullerton Rd, Park Place Professional Centre, Swansea, IL 62226-2970 | 2007-01-22 |
| 1578617965 | Francis Edward Dowling | Dentist | H 2 Swansea Mall, Swansea, MA 02777 | 2007-01-22 |
| 1437251667 | James K Stubblefield | Dentist | 12 Park Place, Swansea, IL 62226 | 2006-09-01 |
| 1093829624 | Paul Andre Raymond | Dentist | 1010 Gar Hwy Rt 6, Swansea, MA 02777 | 2006-08-19 |
| 1053354373 | Raymond Anthony Crisio | Dentist | 4933 Benchmark Centre Drive, Suite A, Swansea, IL 62226 | 2006-06-14 |
| Find all providers in SWANSEA | ||||
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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.