1. Home
  2. Directory
  3. Illinois
  4. Dupo
  5. Clinic Center
  6. NPI Profile

AFFORDABLE DENTAL OF ILLINOIS
NPI 1063552453
Clinic/Center - Dental in Dupo, IL

Active since February 07, 2007

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Affordable Dental Of Illinois NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AFFORDABLE DENTAL OF ILLINOIS (NPI 1063552453) is a healthcare organization registered as a dental in Dupo, Illinois and active in the NPI registry since February 2007. The organization lists Ronald D Gersten, Owner, as its authorized official.

NPPES Registry Identity

NPI1063552453
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameAFFORDABLE DENTAL OF ILLINOIS
Location Address195 S MAIN STDupo, IL 62239-1347
Mailing Address195 S Main StDupo, IL 62239-1347
Phone(618) 286-4400
Organization SubpartNo
Authorized OfficialRonald D GerstenOwner · (618) 286-4400
Enumeration DateFebruary 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063552453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
195 S MAIN ST, Dupo, IL 62239
Open in Google Maps ↗

Other Identifiers 1

Medicaid1004673IL

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DHWANI ANKUR PATEL DMD
Dentist (General Practice)
195 S MAIN ST
DUPO, IL 62239
St. Clair County (681) 286-4400
EDP OF ILLINOIS P.C
Clinic/Center (Dental)
195 S MAIN ST
DUPO, IL 62239
St. Clair County (312) 800-1270
AFFORDABLE DENTISTRY OF IL LLC
Dentist (General Practice)
195 S MAIN ST
DUPO, IL 62239
St. Clair County (618) 286-4400
DR. AKSHAY VIJ BDS
Dentist
195 S MAIN ST
DUPO, IL 62239
St. Clair County (618) 286-4400
MARCEL ACRIS DDS
Dentist
195 S MAIN ST
DUPO, IL 62239
St. Clair County (203) 530-3136
DR. NICHOLAS MICHAEL DUBINA DMD
Dentist (General Practice)
195 S MAIN ST
DUPO, IL 62239
St. Clair County (618) 286-4400
DR. JOHN NORMAN KIMMICH DDS
Dentist
195 S MAIN ST
DUPO, IL 62239
St. Clair County (618) 286-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Affordable Dental Of Illinois's NPI number?

The NPI number for Affordable Dental Of Illinois is 1063552453. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Affordable Dental Of Illinois located?

Affordable Dental Of Illinois is located at 195 S Main St, Dupo, IL 62239. The listed phone number is (618) 286-4400.

What is Affordable Dental Of Illinois's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Affordable Dental Of Illinois was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.