DR. TERRY JON ORTMAN (NPI# 1316004310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316004310 |
| Entity Type | Individual |
| Full Name | DR. TERRY JON ORTMAN |
| Credential | D.D.S. |
| Practice Address |
4119 Humbert Rd Alton IL 62002-7116 |
| Mailing Address |
2802 Bryden Ln Godfrey IL 62035-4709 |
| Practice Telephone | 6184658100 |
| Mailing Telephone | 6184672878 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| Street Address |
4119 HUMBERT RD |
| City | ALTON |
| State | IL |
| Zip Code | 62002-7116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528693926 | Moody Hanahan Dentistry LLC | Clinic/Center | 4119 Humbert Rd, Alton, IL 62002-7116 | 2020-03-05 |
| 1740703149 | Sara Hanahan | Dentist | 4119 Humbert Rd, Alton, IL 62002-7116 | 2017-07-18 |
| 1407298110 | Jonathan Noel Smiley | Dentist | 4119 Humbert Rd, Alton, IL 62002-7116 | 2013-07-23 |
| 1942501911 | Humbert Road Dentistry | Dentist | 4119 Humbert Rd, Alton, IL 62002-7116 | 2010-11-08 |
| 1831256817 | Timothy Joseph Pranger | Dentist | 4119 Humbert Rd, Alton, IL 62002-7116 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| 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 |
|---|---|---|---|---|
| 1336679521 | Mikal Ismail Bell | Dentist | 1809 Homer Adams Pkwy Ste A, Alton, IL 62002-5606 | 2017-06-19 |
| 1033550785 | Martin F. Land | Dentist | 2800 College Ave - Bldg. 263, Southern Illinois University, School of Dental Medicine, Alton, IL 62002-4700 | 2013-07-10 |
| 1639421951 | Sscl Corp Pllc | Dentist | 1315 W. Main Ave Ste 10, Alton, TX 78573 | 2012-10-10 |
| 1457633851 | Brian Ernest Waldman | Dentist | 1410 Seminary St, Alton, IL 62002-4040 | 2011-09-13 |
| 1093018426 | Yojin Steven Chon | Dentist | 1315 W Main Ave Ste 10, Alton, TX 78573-1643 | 2010-12-07 |
| 1962614479 | James J. Reinersman D.m.d. P.C. | Dentist | 2524 State St, Alton, IL 62002-5148 | 2007-05-04 |
| 1447472790 | Dental Professionals of Illinois, P.C. | Dentist | 3430 College Avenue, Alton, IL 62002 | 2007-05-03 |
| 1467674002 | Affordable Dentistry Today, PC | Dentist | 3432 College Avenue, Alton, IL 62002 | 2007-05-03 |
| 1427185503 | Roy Dale Bower | Dentist | 2716 Corner Ct, Alton, IL 62002-5328 | 2007-02-27 |
| 1710037155 | James Edson Nativi | Dentist | 2418 Bloomer Dr, Alton, IL 62002-4809 | 2007-01-10 |
| Find all providers in ALTON | ||||
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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.