CEDAR POINT DENTAL CENTER LTD (NPI# 1699815498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699815498 |
| Entity Type | Organization |
| Organization Name | CEDAR POINT DENTAL CENTER LTD |
| Practice Address |
2904 Greenbriar Dr Springfield IL 62704 |
| Practice Telephone | 2177939550 |
| Practice Fax Number | 2177939587 |
| Mailing Telephone | 2177939550 |
| Mailing Fax Number | 2177939587 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES A BOGGESS (CEO) |
| Authorized Official Telephone | 2177939550 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | IL | Dental Providers | |
| Y | 122300000X | Dentist | IL | Dental Providers |
| Street Address |
2904 GREENBRIAR DR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407944671 | James David Cross | Dentist | 2904 Greenbriar Dr, Springfield, IL 62704-7430 | 2006-10-11 |
| 1972956001 | Joseph Stevens | Dentist | 2904 Greenbriar Dr, Springfield, IL 62704-7430 | 2016-07-13 |
| 1679796502 | Todd A Maggiore | Dentist | 2904 Greenbriar Dr, Suite B, Springfield, IL 62704-7430 | 2007-04-10 |
| 1285857102 | James A Boggess | Dentist | 2904 Greenbriar Dr, Suite B, Springfield, IL 62704-7430 | 2007-04-10 |
| 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 | 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 |
|---|---|---|---|---|
| 1205434628 | Helina Mesfun | Dentist | 6512 Greenview Ln, Springfield, VA 22152-2918 | 2020-10-16 |
| 1336754456 | Springfield Dental Partners LLC | Dentist | 498 Harlow Rd Ste 2, Springfield, OR 97477-1339 | 2020-09-15 |
| 1699392308 | Mahmood Mahmood | Dentist | 6811 Meteor Pl Apt 204, Springfield, VA 22150-4518 | 2020-06-29 |
| 1124514807 | Myranda Nycole Wolff | Dentist | 2740 Prairie Crossing Dr, Springfield, IL 62711-7156 | 2018-07-06 |
| 1861987547 | Hovhannes Pahlevanyan | Dentist | 1795 Main St Ste 212, Springfield, MA 01103-1015 | 2018-06-26 |
| 1205329737 | Camille Renee Tague | Dentist | 2305 S Blackman Rd Ste 100, Springfield, MO 65809-2845 | 2018-06-09 |
| 1134611932 | George William Vincel | Dentist | 3259 E Sunshine St Ste Q, Springfield, MO 65804-2143 | 2018-06-06 |
| 1235636531 | Duff Family Dental, LLC | Dentist | 1722 S Glenstone Ave Ste O, Springfield, MO 65804-1513 | 2018-04-12 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1265948699 | Brighter Dental Care (springfield) | Dentist | 901 Mountain Avenue, Suite Sc-13, Springfield, NJ 07081 | 2017-12-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on CEDAR POINT DENTAL CENTER LTD.
| 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.