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CEDAR CREEK DENTAL ASSOC
NPI 1275605305
Dentist - General Practice in Highland, IL

Active since November 14, 2006
380 SUPPIGER WAY, SUITE 3, HIGHLAND, IL 62249(618) 654-4551(618) 654-8523 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cedar Creek Dental Assoc NPPES

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

CEDAR CREEK DENTAL ASSOC (NPI 1275605305) is a healthcare organization registered as a general practice in Highland, Illinois and active in the NPI registry since November 2006. The organization lists Bret W Gruender, President, as its authorized official.

NPPES Registry Identity

NPI1275605305
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCEDAR CREEK DENTAL ASSOC
Location Address380 SUPPIGER WAY, SUITE 3Highland, IL 62249-1103
Mailing Address380 Suppiger Way, Suite 3Highland, IL 62249-1103 · (618) 654-4551 · Fax (618) 654-8523
Phone(618) 654-4551
Fax(618) 654-8523
Organization SubpartNo
Authorized OfficialBret W GruenderPresident · (618) 654-4551
Enumeration DateNovember 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1275605305 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.
380 SUPPIGER WAY, Highland, IL 62249
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. BRET W GRUENDER D.M.D.
Dentist (General Practice)
380 SUPPIGER WAY, SUITE 3
HIGHLAND, IL 62249
Madison County (618) 654-4551
DR. ERIC SCOTT VONHOVEN D.M.D.
Dentist (General Practice)
380 SUPPIGER WAY, SUITE 3
HIGHLAND, IL 62249
Madison County (618) 654-4551

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 Cedar Creek Dental Assoc's NPI number?

The NPI number for Cedar Creek Dental Assoc is 1275605305. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Cedar Creek Dental Assoc located?

Cedar Creek Dental Assoc is located at 380 Suppiger Way Suite 3, Highland, IL 62249. The listed phone number is (618) 654-4551.

What is Cedar Creek Dental Assoc'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 Cedar Creek Dental Assoc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.