MERIDIAN VIEW FAMILY DENTAL (NPI# 1629240569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629240569 |
| Entity Type | Organization |
| Organization Name | MERIDIAN VIEW FAMILY DENTAL |
| Practice Address |
2133 South Illinois Route 157 Edwardsville IL 62025 |
| Mailing Address |
26 Ginger Creek Pkwy Po Box 430 Glen Carbon IL 62034-3502 |
| Practice Telephone | 6186562006 |
| Practice Fax Number | 6186562066 |
| Mailing Telephone | 6182886201 |
| Mailing Fax Number | 6182886452 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2012-05-31 |
| Authorized Official Name | AMANDA HENDERSON (BUSINESS ASSISTANT) |
| Authorized Official Telephone | 6182886201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019025159 | IL | Dental Providers |
| Street Address |
2133 SOUTH ILLINOIS ROUTE 157 |
| City | EDWARDSVILLE |
| State | IL |
| Zip Code | 62025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1194376640 | Katharine Mcginnis D.m.d. P.C. | Dentist | 235 A. South Main St, Edwardsville, IL 62025 | 2019-09-26 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1902277031 | Amy Lynn Britt | Nurse Practitioner | 1188 South State Route 157, Edwardsville, IL 62025 | 2015-10-15 |
| 1730563230 | Jenna Dallman | Chiropractor | 3 Sunset Hills Professional Center, Suite 2, Edwardsville, IL 62025 | 2015-07-14 |
| 1861745218 | Srimannarayana Marella | Family Medicine | 6616 Center Grove Rd., Edwardsville, IL 62025 | 2012-10-23 |
| 1669722872 | Ican Clinic LLC | Chiropractor | 441 S State Route 157 Ste 2, Edwardsville, IL 62025 | 2012-09-14 |
| 1922371673 | Teresa Marie Garbett | Pharmacist | 2 Sunset Hills Executive Park Dr., Addiction Treatment Strategies, Edwardsville, IL 62025 | 2012-02-10 |
| 1831324342 | Krista Nicole Nelson | Podiatrist | 235 S Main St Ste B, Edwardsville, IL 62025 | 2009-05-28 |
| 1447415757 | Harvey H Breckner D.m.d.,m.s | Exclusive Provider Organization | 600 Country Club View Suite 4, Edwardsville, IL 62025 | 2008-07-25 |
| Find all providers in zip 62025 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023348646 | Daniel Nicholas Karateew | Dentist | 5352 Fox Crst, Edwardsville, IL 62025-5740 | 2010-01-04 |
| 1780917823 | Beau G Moody | Dentist | 122 N Kansas St, Edwardsville, IL 62025-1769 | 2009-09-08 |
| 1316123235 | Hal R. Patton | Dentist | 1403 Troy Rd Ste B, Edwardsville, IL 62025-2590 | 2008-01-10 |
| 1992823934 | Rebecca Lynn Dunn | Dentist | 618 Saint Louis St, Edwardsville, IL 62025-1504 | 2007-03-27 |
| 1497872626 | Charles Williams | Dentist | 2 Club Centre Ct, Edwardsville, IL 62025-3503 | 2007-03-23 |
| 1649317702 | Sharon E Hanne | Dentist | 6655 Edwardsville Crossing Dr Ste D, Edwardsville, IL 62025-2708 | 2007-01-30 |
| 1265586960 | Taletta Ann Watson | Dentist | 1104 Cobblestone Dr, Edwardsville, IL 62025-8892 | 2007-01-22 |
| 1114076049 | Jeffrey Vernon Noll | Dentist | 114 N Kansas St, Edwardsville, IL 62025-1769 | 2007-01-09 |
| 1508972340 | Steven Joseph Hyten | Dentist | 1005 Plummer Dr, Suite A, Edwardsville, IL 62025-4702 | 2006-08-22 |
| 1710504097 | Mary Elizabeth Di Lisio | Dentist | 618 Saint Louis St, Edwardsville, IL 62025-1504 | 2020-07-02 |
| Find all providers in EDWARDSVILLE | ||||
| City | EDWARDSVILLE |
| Zip Code | 62025 |
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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.