TIARA LA'SHAY WILBURN
NPI 1093499246
Dentist in Alton, IL

Active since June 09, 2023
2800 COLLEGE AVE, ALTON, IL 62002(618) 474-7000 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tiara La'shay Wilburn NPPES

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

TIARA LA'SHAY WILBURN (NPI 1093499246) is an individual dentist in Alton, Illinois, licensed in Illinois (019034234) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1093499246
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameTIARA LA'SHAY WILBURN
Location Address2800 COLLEGE AVEAlton, IL 62002-4742
Mailing Address2800 College AveAlton, IL 62002-4742 · (618) 474-7000
Sole ProprietorNo
Enumeration DateJune 9, 2023
NPPES CertifiedJune 7, 2023
NPI 1093499246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IL · 019034234
Definition

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.

2800 COLLEGE AVE, Alton, IL 62002

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Dentist (General Practice)
2800 COLLEGE AVE
ALTON, IL 62002
Dentist (General Practice)
2800 COLLEGE AVE
ALTON, IL 62002
Dentist
2800 COLLEGE AVE
ALTON, IL 62002
Dentist
2800 COLLEGE AVE
ALTON, IL 62002
Dentist
2800 COLLEGE AVE
ALTON, IL 62002
Dentist
2800 COLLEGE AVE
ALTON, IL 62002
Dentist (Periodontics)
2800 COLLEGE AVE
ALTON, IL 62002
Dentist
2800 COLLEGE AVE
ALTON, IL 62002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093499246, enumerated as an "individual" on June 09, 2023.

The provider is located at 2800 COLLEGE AVE ALTON, IL 62002 and the phone number is (618) 474-7000.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.