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LITTLE EGYPT PEDIATRIC DENTISTRY
NPI 1285377036
Dentist - Pediatric Dentistry in Carbondale, IL

Active since April 19, 2022
1255 CEDAR CT, CARBONDALE, IL 62901(618) 319-4536 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Little Egypt Pediatric Dentistry NPPES

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

LITTLE EGYPT PEDIATRIC DENTISTRY (NPI 1285377036) is a healthcare organization registered as a pediatric dentistry in Carbondale, Illinois and active in the NPI registry since April 2022. The organization lists Travis Cripps, Owner, as its authorized official.

NPPES Registry Identity

NPI1285377036
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLITTLE EGYPT PEDIATRIC DENTISTRY
Location Address1255 CEDAR CTCarbondale, IL 62901-5335
Mailing Address1255 Cedar CtCarbondale, IL 62901-5335
Phone(618) 319-4536
Organization SubpartNo
Authorized OfficialTravis CrippsOwner · (618) 694-2110
Enumeration DateApril 19, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1285377036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1255 CEDAR CT, Carbondale, IL 62901
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. S. MICHAEL VANCIL D.M.D.
Dentist (General Practice)
1255 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 529-3931

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 Little Egypt Pediatric Dentistry's NPI number?

The NPI number for Little Egypt Pediatric Dentistry is 1285377036. It was assigned to this organization in the NPPES registry on April 19, 2022.

Where is Little Egypt Pediatric Dentistry located?

Little Egypt Pediatric Dentistry is located at 1255 Cedar Ct, Carbondale, IL 62901. The listed phone number is (618) 319-4536.

What is Little Egypt Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Little Egypt Pediatric Dentistry was last updated on April 19, 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.