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DENTISTS OF OFALLON PLLC
NPI 1215672753
Dentist - General Practice in O Fallon, IL

Active since April 29, 2022
1124 MERCHANTS WAY STE 200, O FALLON, IL 62269(618) 515-4929 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dentists Of Ofallon Pllc NPPES

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

DENTISTS OF OFALLON PLLC (NPI 1215672753) is a healthcare organization registered as a general practice in O Fallon, Illinois and active in the NPI registry since April 2022. The organization lists Alex Sharifian, Owner, as its authorized official.

NPPES Registry Identity

NPI1215672753
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTISTS OF OFALLON PLLC
Location Address1124 MERCHANTS WAY STE 200O Fallon, IL 62269-3603
Mailing AddressPo Box 920050Dallas, TX 75392-0050
Phone(618) 515-4929
Organization SubpartNo
Authorized OfficialAlex SharifianOwner · (714) 845-8500
Enumeration DateApril 29, 2022
NPPES CertifiedApril 29, 2022
✔ NPI 1215672753 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.
1124 MERCHANTS WAY STE 200, O Fallon, IL 62269
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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

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 Dentists Of Ofallon PLLC's NPI number?

The NPI number for Dentists Of Ofallon PLLC is 1215672753. It was assigned to this organization in the NPPES registry on April 29, 2022.

Where is Dentists Of Ofallon PLLC located?

Dentists Of Ofallon PLLC is located at 1124 Merchants Way Ste 200, O Fallon, IL 62269. The listed phone number is (618) 515-4929.

What is Dentists Of Ofallon PLLC'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 Dentists Of Ofallon PLLC was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.