DR. SERGEY DOLGOV
NPI 1154715795
Dentist in Alton, IL

Q: What is Sergey Dolgov's NPI number?

The NPI number for Sergey Dolgov is 1154715795. It was assigned to this individual provider in the NPPES registry on March 21, 2015.

Q: What is Sergey Dolgov's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Sergey Dolgov was last updated on March 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 21, 2015PECOS Enrolled

2800 COLLEGE AVE, ALTON, IL 62002(618) 747-7000 Get Directions Write a Review

NPPES record last updated: March 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Sergey Dolgov NPPES

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

DR. SERGEY DOLGOV (NPI 1154715795) is an individual dentist in Alton, Illinois, licensed in Illinois (019.030120) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154715795

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. SERGEY DOLGOV

Location Address2800 COLLEGE AVEAlton, IL 62002-4742

Mailing Address2800 College AveAlton, IL 62002-4742 · (618) 747-7000

Phone(618) 747-7000

Sole ProprietorNo

Enumeration DateMarch 21, 2015

✔ NPI 1154715795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019.030120

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sergey Dolgov is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$70.42 typical visit price

range $17.51 – $139.99

Typical copayment $17.60 (range $4.37 – $34.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.