AFFORDABLE DENTISTRY OF IL LLC (NPI# 1487968814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487968814 |
| Entity Type | Organization |
| Organization Name | AFFORDABLE DENTISTRY OF IL LLC |
| Practice Address |
195 S Main St Dupo IL 62239-1347 |
| Practice Telephone | 6182864400 |
| Mailing Telephone | 6182864400 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |
| Authorized Official Name | BRIAN MATTHEW STEGMANN (DENTIST/OWNER) |
| Authorized Official Telephone | 6182864400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
319017393 | IL | Dental Providers |
| Street Address |
195 S MAIN ST |
| City | DUPO |
| State | IL |
| Zip Code | 62239-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154712784 | Forfar Dental Partners, PC Edp of Illinois | Dentist | 195 S Main St, Dupo, IL 62239-1347 | 2015-02-18 |
| 1972773281 | John Norman Kimmich | Dentist | 195 S Main St, Dupo, IL 62239-1347 | 2008-03-04 |
| 1063552453 | Affordable Dental of Illinois | Clinic/Center | 195 S Main St, Dupo, IL 62239-1347 | 2007-02-07 |
| 1477693091 | Lloyd George Forester Jr. | Dentist | 195 S Main St, Dupo, IL 62239-1347 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184180051 | Courtney Barlow | Nurse Practitioner | 1329 N 2nd St, Dupo, IL 62239-1049 | 2019-02-15 |
| 1598210056 | Michael Robert Dambacher | Physical Therapy Assistant | 95 Stoney Dr, Dupo, IL 62239-1160 | 2016-08-24 |
| 1770667172 | Dupo Fire Protection District | Ambulance | 501 Columbia Road, Dupo, IL 62239-1301 | 2006-10-24 |
| 1528681764 | Holon Inclusive Behavioral Health | Psychiatry & Neurology | 301 S Main St, Dupo, IL 62239-1325 | 2020-05-21 |
| 1417570920 | Jessica Whelan LLC | Registered Nurse | 301 S Main St, Dupo, IL 62239-1325 | 2020-05-19 |
| 1437462637 | Pc Associates, LLC | Family Medicine | 325 S Main St, Dupo, IL 62239-1325 | 2010-07-16 |
| 1700893989 | Ken Kloess | Dentist | 240 S Main St, Dupo, IL 62239-1357 | 2006-08-01 |
| 1932256112 | Michael Z Bialas | Chiropractor | 1421 Columbia Rd, Dupo, IL 62239-1429 | 2007-01-03 |
| 1679774632 | Community Unit School District No 196 | Local Education Agency (LEA) | 600 Louisa Ave, Dupo, IL 62239-1469 | 2007-05-29 |
| 1275149734 | Kristen Kay White | Psychologist | 600 Louisa Ave, Dupo, IL 62239-1469 | 2020-09-21 |
| Find all providers in zip 62239 | ||||
| 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 |
|---|---|---|---|---|
| 1700893989 | Ken Kloess | Dentist | 240 S Main St, Dupo, IL 62239-1357 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
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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.