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DR. ERIC JEFFREY KUBACKI DMD
NPI 1114702743
Dentist - General Practice in Alton, IL

Active since August 30, 2023
2800 COLLEGE AVE, ALTON, IL 62002(618) 474-7000 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 24, 2024, Aug 30, 2023 (2 updates tracked since 2023).

About Dr. Eric Jeffrey Kubacki Dmd NPPES

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

DR. ERIC JEFFREY KUBACKI DMD (NPI 1114702743) is an individual general practice provider in Alton, Illinois, licensed in Illinois (019033726) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1114702743
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ERIC JEFFREY KUBACKICredential: DMD
Location Address2800 COLLEGE AVEAlton, IL 62002-4742
Mailing Address1214 Oakleaf DrSaint Louis, MO 63119-1038 · (815) 531-2746
Phone(618) 474-7000
Sole ProprietorNo
Enumeration DateAugust 30, 2023
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1114702743 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 · 019033726
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.
2800 COLLEGE AVE, Alton, IL 62002
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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.

JESSICA CHELLIS
Dentist
2800 COLLEGE AVE
ALTON, IL 62002
Madison County (618) 474-7000
DR. SANDRA KAY HIGHSMITH D.M.D.
Dentist
2800 COLLEGE AVE
ALTON, IL 62002
Madison County (618) 474-7208
DR. LUCAS WINEBAUGH DMD
Dentist (General Practice)
2800 COLLEGE AVE
ALTON, IL 62002
Madison County (618) 474-7000
DR. ADAM KENNEDY REMM DMD
Dentist
2800 COLLEGE AVE
ALTON, IL 62002
Madison County (618) 474-7000
DR. PATRICK WILLIAM MALONE DMD
Dentist (General Practice)
2800 COLLEGE AVE
ALTON, IL 62002
Madison County (630) 391-8330
DR. ALEXANDRIA NICOLE WOLD DDS
Dentist
2800 COLLEGE AVE
ALTON, IL 62002
Madison County (618) 474-7164
DR. DEBRA MARIE SCHWENK DMD
Dentist (General Practice)
2800 COLLEGE AVE
ALTON, IL 62002
Madison County (618) 474-7080
TIARA LA'SHAY WILBURN
Dentist
2800 COLLEGE AVE
ALTON, IL 62002
Madison County (618) 474-7000

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 Eric Kubacki's NPI number?

The NPI number for Eric Kubacki is 1114702743. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Eric Kubacki located?

Eric Kubacki practices at 2800 College Ave, Alton, IL 62002. The listed phone number is (618) 474-7000.

What is Eric Kubacki'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 Eric Kubacki was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.