DENTAL PROFESSIONALS OF ILLINOIS, P.C. (NPI# 1114139037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114139037 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF ILLINOIS, P.C. |
| Other Organization Name | LITCHFIELD FAMILY DENTAL CARE |
| Practice Address |
620 West Union Litchfield IL 62056 |
| Practice Telephone | 2173243431 |
| Practice Fax Number | 2173243414 |
| Mailing Telephone | 2173243431 |
| Mailing Fax Number | 2173243414 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2014-01-07 |
| Authorized Official Name | LINDSAY BEARDEN (INS COOD) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF ILLINOIS, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Litchfield Family Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669092177 | Dental Professionals of Illinois, P.C. | Dentist | 3419 Orchard Rd, Oswego, IL 60543-5005 | 2020-04-24 |
| 1790262434 | Dental Professionals of Illinois, P.C. | Dentist | 1402 S Us Highway 12, Fox Lake, IL 60020-1252 | 2018-07-25 |
| 1255884623 | Dental Professionals of Illinois, P.C. | Dentist | 2740 Prairie Crossing Drive, Springfield, IL 62711 | 2016-08-02 |
| 1043609167 | Dental Professionals of Illinois, P.C. | Dentist | 9990 W 190th St, Suite D, Mokena, IL 60448-8188 | 2015-01-13 |
| 1144623273 | Dental Professionals of Illinois, P.C. | Dentist | 540 W Walnut St, Oglesby, IL 61348-1400 | 2014-10-03 |
| 1053713966 | Dental Professionals of Illinois, P.C. | Dentist | 1411 W Lane Rd Ste B, Machesney Park, IL 61115 | 2014-09-23 |
| 1346651577 | Dental Professionals of Illinois, P.C. | Dentist | 1490 Douglas Rd, Oswego, IL 60543-5106 | 2014-05-09 |
| 1972925584 | Dental Professionals of Illinois, P.C. | Dentist | 6631 Grand Ave Ste 1, Gurnee, IL 60031-5284 | 2014-01-16 |
| 1386985380 | Dental Professionals of Illinois, P.C. | Dentist | 368 W. Washington St., East Peoria, IL 61611 | 2013-03-15 |
| 1871842112 | Dental Professionals of Illinois, P.C. | Dentist | 12605 Troxler Ave, Highland, IL 62249 | 2012-08-31 |
| Street Address |
620 WEST UNION |
| City | LITCHFIELD |
| State | IL |
| Zip Code | 62056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940340 | Daniel Bennett | Technician | 1007 N Jefferson St, Litchfield, IL 62056 | 2019-09-06 |
| 1841846888 | Madalyn Leann Rogers | Speech-Language Pathologist | 601 W South St., Litchfield, IL 62056 | 2019-08-15 |
| 1164780185 | Jimmy Dapog | Physical Therapist | 628 Illinois St, Litchfield, IL 62056 | 2012-04-27 |
| 1558583096 | Affordable Dentistry Today, PC | Dentist | 515 North Monroe, Litchfield, IL 62056 | 2007-05-03 |
| 1104915867 | City of Litchfield | Ambulance | 201 East Edwards, Litchfield Ave Ambulance Service, Litchfield, IL 62056 | 2006-10-12 |
| 1033213020 | Litchfield Oncology Institute Ltd | Radiology | 1201 East Union Avenue, Litchfield, IL 62056 | 2006-09-11 |
| 1891751400 | Andrew Kamp | Physical Therapist | 1510 Old Route 66 North, Litchfield, IL 62056 | 2006-04-22 |
| 1720226442 | Patti S Durbin | Nurse Anesthetist, Certified Registered | 1215 Franciscan Drive, Anesthesia Dept, Litchfield, IL 62056 | 2009-02-03 |
| 1841388840 | Muhammad Ansari | Radiology | 1201 E Union Ave, Litchfield, IL 62056 | 2006-10-11 |
| 1952352205 | Denise Lynne Johnson Pritchett | Nurse Practitioner | 1285 Franciscan Dr, Litchfield, IL 62056 | 2006-05-12 |
| Find all providers in zip 62056 | ||||
| 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 |
|---|---|---|---|---|
| 1558583096 | Affordable Dentistry Today, PC | Dentist | 515 North Monroe, Litchfield, IL 62056 | 2007-05-03 |
| 1285757070 | Robert Stefanski | Dentist | 515 Marshall Street, Litchfield, MI 49252 | 2007-04-09 |
| 1407993397 | James Dewitt Haugo | Dentist | 715 No Sibley Ave, Litchfield, MN 55355 | 2007-01-31 |
| 1134274848 | James D Haugo Dds Pa | Dentist | 715 N Sibley, Suite 101, Litchfield, MN 55355 | 2007-01-24 |
| 1881746576 | John Paul Simoncelli | Dentist | 34 East Street, Litchfield, CT 06759 | 2007-01-16 |
| 1528136439 | Leif F Engles | Dentist | 1403 W Ferdon St Ste 22, Litchfield, IL 62056-4448 | 2006-11-30 |
| 1952488090 | William F. Fabbri | Dentist | 3 West Street, Litchfield, CT 06759 | 2006-11-01 |
| 1750499729 | Kathy Jo Shafer | Dentist | 125 W Columbian Blvd S, Pob 434, Litchfield, IL 62056-3021 | 2006-08-29 |
| 1255445284 | Paul Walter Golas | Dentist | 262 Derry Rd, Litchfield, NH 03052-2633 | 2006-08-18 |
| 1124041652 | Robert Jacob Vanwyck | Dentist | 98 West St, Litchfield, CT 06759 | 2006-07-25 |
| Find all providers in LITCHFIELD | ||||
| City | LITCHFIELD |
| Zip Code | 62056 |
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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.