DR. CYNTHIA CAMILLE BANDERET (NPI# 1760529333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760529333 |
| Entity Type | Individual |
| Full Name | DR. CYNTHIA CAMILLE BANDERET |
| Credential | D.M.D. |
| Practice Address |
629 E Main St Belleville IL 62220-1614 |
| Practice Telephone | 6182348411 |
| Practice Fax Number | 6182348544 |
| Mailing Telephone | 6182348411 |
| Mailing Fax Number | 6182348544 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| 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 |
629 E MAIN ST |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| 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 |
|---|---|---|---|---|
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| 1174055743 | Accurate Dental - Denture Inc | Dentist | 781 Sumpter Rd, Belleville, MI 48111-2916 | 2017-04-01 |
| 1316305063 | Lifetime Dental Care of Michigan, PC | Dentist | 6127 Rawsonville Rd, Suite 118, Belleville, MI 48111-2546 | 2016-02-09 |
| 1306212170 | Green Mount Dental, LLC | Dentist | 2810 Frank Scott Pkwy W Ste 800, Belleville, IL 62223-5007 | 2015-08-17 |
| 1417221532 | Lincoln Place Dental PC | Dentist | 114 Lincoln Place Ct, Belleville, IL 62221-5884 | 2012-03-07 |
| 1306165303 | Atlantic Family Dentistry LLC | Dentist | 180 Washington Ave Fl 2, Belleville, NJ 07109-2541 | 2010-05-31 |
| 1336352608 | Affordable Dentistry Today, PC | Dentist | 5300 West Main, Belleville, IL 62226 | 2007-05-07 |
| 1427270073 | Affordable Dentistry Today, PC | Dentist | 1801 North Belt West, Suite C, Belleville, IL 62226 | 2007-05-03 |
| 1235353640 | Matt Raymod St. Eve | Dentist | 5700 W Main St, Belleville, IL 62226-4407 | 2007-04-13 |
| 1427170828 | Jerrold Ted Jacob | Dentist | 484 Washington Ave, Belleville, NJ 07109-2688 | 2007-04-04 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
Please comment or provide details below to improve the information on DR. CYNTHIA CAMILLE BANDERET.
| 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.