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MIDAMERICA CENTER FOR DENTAL WELLNESS & AESTHETICS PC
NPI 1093170003
Dentist - General Practice in Vandalia, IL

Active since December 17, 2015
607 W ORCHARD ST, VANDALIA, IL 62471(618) 283-2929(618) 283-2113 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 9, 2017, Dec 17, 2015 (2 updates tracked since 2015).

About Midamerica Center For Dental Wellness & Aesthetics Pc NPPES

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

MIDAMERICA CENTER FOR DENTAL WELLNESS & AESTHETICS PC (NPI 1093170003) is a healthcare organization registered as a general practice in Vandalia, Illinois and active in the NPI registry since December 2015. The organization lists Mark G Brunk, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1093170003
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMIDAMERICA CENTER FOR DENTAL WELLNESS & AESTHETICS PC
Location Address607 W ORCHARD STVandalia, IL 62471-1234
Mailing Address607 W Orchard StVandalia, IL 62471-1234 · (618) 283-2929 · Fax (618) 283-2113
Phone(618) 283-2929
Fax(618) 283-2113
Organization SubpartNo
Authorized OfficialMark G BrunkOwner/partner · (618) 283-2929
Enumeration DateDecember 17, 2015
Last NPPES UpdateFebruary 9, 20172 updates tracked since enumeration
✔ NPI 1093170003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019019107
Definition
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.
607 W ORCHARD ST, Vandalia, IL 62471
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

WILLIAM PHILLIPS
Dentist
607 W ORCHARD ST
VANDALIA, IL 62471
Fayette County (618) 283-2929
MID AMERICA DENTAL LLC
Dentist (General Practice)
607 W ORCHARD ST
VANDALIA, IL 62471
Fayette County (618) 283-2929
DR. KELLI JEAN BRUNK BLANK D.M.D.
Dentist
607 W ORCHARD ST
VANDALIA, IL 62471
Fayette County (618) 283-2929
MICHAEL DONALD LASK D.M.D.
Dentist (General Practice)
607 W ORCHARD ST, A
VANDALIA, IL 62471
Fayette County (618) 283-2929
DR. COLTEN LEE HUNTER DMD
Dentist (General Practice)
607 W ORCHARD ST
VANDALIA, IL 62471
Fayette County (618) 283-2929
DR. MARK GREGORY BRUNK D.M.D.
Dentist (General Practice)
607 W ORCHARD ST
VANDALIA, IL 62471
Fayette County (618) 283-2929

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 Midamerica Center For Dental Wellness & Aesthetics PC's NPI number?

The NPI number for Midamerica Center For Dental Wellness & Aesthetics PC is 1093170003. It was assigned to this organization in the NPPES registry on December 17, 2015.

Where is Midamerica Center For Dental Wellness & Aesthetics PC located?

Midamerica Center For Dental Wellness & Aesthetics PC is located at 607 W Orchard St, Vandalia, IL 62471. The listed phone number is (618) 283-2929.

What is Midamerica Center For Dental Wellness & Aesthetics PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Midamerica Center For Dental Wellness & Aesthetics PC was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.