DR. CYNTHIA C. BANDERET, DMD, PC (NPI# 1679134829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679134829 |
| Entity Type | Organization |
| Organization Name | DR. CYNTHIA C. BANDERET, DMD, PC |
| Practice Address |
2630 Mascoutah Ave. Suite A Belleville IL 62221 |
| Practice Telephone | 6182348411 |
| Mailing Telephone | 6182348411 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Authorized Official Name | DR. CYNTHIA BANDERET (OWNER/DENTIST) |
| Authorized Official Telephone | 6182348411 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | DR. CYNTHIA C. BANDERET, DMD, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
2630 MASCOUTAH AVE. SUITE A |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942763487 | John Joseph Oldani | Psychologist | Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2019-04-11 |
| 1114497781 | Kendra D Edwards | Counselor | 900 Royal Height Rd Suite 2150, Belleville, IL 62221 | 2018-11-27 |
| 1326537358 | Barbara S Laidlaw | Counselor | 2362 Country Rd, Belleville, IL 62221 | 2018-05-04 |
| 1083133946 | Kierra Jackson | In Home Supportive Care | 2611 Sierra Drive Apt. F, Belleville, IL 62221 | 2017-09-12 |
| 1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
| 1700302270 | Mark Hofelich | Pharmacist | 515 Carlyle Avenue, Belleville, IL 62221 | 2017-08-16 |
| 1912422247 | Cherie Ann Klosterman | Psychologist | Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2017-08-08 |
| 1134391329 | Barbara Beckley | Home Health Aide | 2726 Cascade Lake Drive, Shiloh, IL 62221 | 2008-03-27 |
| 1356561666 | Belleville Area Spc Srv Co - Adm | Local Education Agency (LEA) | 2411 Pathways Crossing, Belleville, IL 62221 | 2007-04-27 |
| 1811969892 | Lesa Renee' Seales | Registered Nurse | 211 S. 3rd St., Belleville, IL 62221 | 2006-02-03 |
| Find all providers in zip 62221 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902302946 | Fischer Family Dentistry LLC | Clinic/Center | 2337 G St Ste 3, Belleville, KS 66935-2463 | 2018-03-30 |
| 1518239268 | Dr. Leo N. Dumstorff Dds Ltd. | Clinic/Center | 3540 North Belt West, Suite B, Belleville, IL 62226 | 2012-01-27 |
| 1639679087 | Michael Smith Dmd, LLC | Clinic/Center | 16 N Jackson St, Belleville, IL 62220-1425 | 2018-02-12 |
| 1124280706 | 3-d Imaging of Southern Illinois, Inc. | Clinic/Center | 5899 N Belt W, Suite B, Belleville, IL 62226-4617 | 2008-06-25 |
| 1578734489 | Thomas J Feder Dds PC | Clinic/Center | 16 N Jackson St, Belleville, IL 62220-1425 | 2008-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629514 | Chicago Pediatric Dentistry and Orthodontics | Clinic/Center | 1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734 | 2020-11-03 |
| 1437750031 | Secure Dental Xi | Clinic/Center | 1843 W Golf Rd, Schaumburg, IL 60194-1148 | 2020-11-02 |
| 1780283267 | Jenna Gaw, Dds, Pllc | Clinic/Center | 1724 Locust Pl Apt 303, Schaumburg, IL 60173-4239 | 2020-10-26 |
| 1740889344 | Nsp Dental LLC | Clinic/Center | 1900 Hollister Dr Ste 190, Libertyville, IL 60048-5283 | 2020-10-23 |
| 1285232827 | Paul Doodes Dds Phd PC | Clinic/Center | 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137-6282 | 2020-10-15 |
| 1780290676 | Great Smile Dental Pllc | Clinic/Center | 720 Osterman Ave Ste 304, Deerfield, IL 60015-4339 | 2020-09-16 |
| 1669087375 | Naperville Smiles Dental | Clinic/Center | 8 W Gartner Rd Ste 124, Naperville, IL 60540-7549 | 2020-09-09 |
| 1649883364 | Mark J Maly Estate | Clinic/Center | 103 S Main St # Po, Orangeville, IL 61060-9244 | 2020-08-24 |
| 1760094718 | Stoffel and Tomazin Dental Associates, Ltd | Clinic/Center | 5718 W 35th St, Cicero, IL 60804-4222 | 2020-08-20 |
| 1215548771 | Meda Dental II LLC | Clinic/Center | 2735 Hassert Blvd Ste 159, Naperville, IL 60564-5205 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 62221 |
Please comment or provide details below to improve the information on DR. CYNTHIA C. BANDERET, DMD, PC.
| 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.