STOCKTON DENTAL CENTER
NPI 1093880536
Dentist - General Practice in Stockton, IL

Active since November 21, 2006
120 W FRONT AVE, STOCKTON, IL 61085(815) 947-3700(817) 947-9058 Get Directions Write a Review

NPPES record last updated: August 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stockton Dental Center NPPES

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

STOCKTON DENTAL CENTER (NPI 1093880536) is a healthcare organization registered as a general practice in Stockton, Illinois and active in the NPI registry since November 2006. The organization lists Stephen F Petras, Dentist, as its authorized official.

NPPES Registry Identity

NPI1093880536
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSTOCKTON DENTAL CENTER, INC.
Location Address120 W FRONT AVEStockton, IL 61085-1318
Mailing Address120 W Front AveStockton, IL 61085-1318 · (815) 947-3700 · Fax (817) 947-9058
Fax(817) 947-9058
Organization SubpartNo
Authorized OfficialStephen F PetrasDentist · (815) 947-3700
Enumeration DateNovember 21, 2006
Last NPPES UpdateAugust 16, 2007
NPI 1093880536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
120 W FRONT AVE, Stockton, IL 61085

Other Names 1

Doing Business AsStockton Dental Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
120 W FRONT AVE
STOCKTON, IL 61085
Dentist (General Practice)
120 W FRONT AVE
STOCKTON, IL 61085
Dentist (General Practice)
120 W FRONT AVE
STOCKTON, IL 61085
Dentist (General Practice)
120 W FRONT AVE
STOCKTON, IL 61085

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 Stockton Dental Center, Inc.'s NPI number?

The NPI number for Stockton Dental Center, Inc. is 1093880536. It was assigned to this organization in the NPPES registry on November 21, 2006. The provider is doing business as Stockton Dental Center.

Where is Stockton Dental Center, Inc. located?

Stockton Dental Center, Inc. is located at 120 W Front Ave, Stockton, IL 61085. The listed phone number is (815) 947-3700.

What is Stockton Dental Center, Inc.'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 Stockton Dental Center, Inc. was last updated on August 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.