ENDODONTICS OF SPRINGFIELD (NPI# 1134782592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134782592 |
| Entity Type | Organization |
| Organization Name | ENDODONTICS OF SPRINGFIELD |
| Practice Address |
997 Clock Tower Dr Ste C Springfield IL 62704-1399 |
| Practice Telephone | 2176700462 |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2019-04-20 |
| Authorized Official Name | ANDREW MARTENS (OWNER) |
| Authorized Official Telephone | 2176700462 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Street Address |
997 CLOCK TOWER DR STE C |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-1399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671353 | Sachin Rastogi Dmd Pllc | Dentist | 6116 Rolling Rd Ste 304, Springfield, VA 22152-1512 | 2018-08-31 |
| 1992955405 | Greater Springfield Endodontics Partnership | Dentist | 2808 S Ingram Mill Rd, Building C108, Springfield, MO 65804-4079 | 2008-09-22 |
| 1023213758 | Reza Fardshisheh | Dentist | 6120 Brandon Ave Ste 314, Springfield, VA 22150-2504 | 2007-06-21 |
| 1396888426 | Carol A Mccall | Dentist | 1358 E Kingsley St, Suite E, Springfield, MO 65804-7216 | 2007-02-15 |
| 1801936570 | Western Mass Endodontics PC | Dentist | 15 Liberty Street, Western Mass Endodontics, Springfield, MA 01103 | 2007-02-08 |
| 1386795193 | Gerald Lane Stephenson | Dentist | 3331 E Montclair St, Suite A, Springfield, MO 65804-4785 | 2007-01-16 |
| 1871665232 | David James Hurt | Dentist | 1201 S Veterans Pkwy Ste E, Springfield, IL 62704-6342 | 2006-11-14 |
| 1215008008 | Stewart A. Hinkley | Dentist | 1990 Kingsgate Rd # B, Springfield, OH 45502-8224 | 2006-11-13 |
| 1063591089 | Mark Allen Massey | Dentist | 4350 S National Ave Ste B122, Springfield, MO 65810-2658 | 2006-11-02 |
| 1982796041 | Lisa Dawn Castleman | Dentist | 1338 E Kingsley St, Suite A, Springfield, MO 65804-7216 | 2006-09-28 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
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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.