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ADVANCED DENTAL CARE
NPI 1295182905
Clinic/Center - Dental in Columbia, IL

Active since May 23, 2016
125 WEDGEWOOD DR, COLUMBIA, IL 62236(618) 281-9590 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Advanced Dental Care NPPES

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

ADVANCED DENTAL CARE (NPI 1295182905) is a healthcare organization registered as a dental in Columbia, Illinois and active in the NPI registry since May 2016. The organization lists Martin Joseph Cisneros, Owner, as its authorized official.

NPPES Registry Identity

NPI1295182905
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameADVANCED DENTAL CARE
Location Address125 WEDGEWOOD DRColumbia, IL 62236-1052
Mailing Address125 Wedgewood DrColumbia, IL 62236-1052 · (618) 281-9590
Phone(618) 281-9590
Organization SubpartNo
Authorized OfficialMartin Joseph CisnerosOwner · (618) 281-9590
Enumeration DateMay 23, 2016
✔ NPI 1295182905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in IL · 019024628
125 WEDGEWOOD DR, Columbia, IL 62236
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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 Advanced Dental Care's NPI number?

The NPI number for Advanced Dental Care is 1295182905. It was assigned to this organization in the NPPES registry on May 23, 2016.

Where is Advanced Dental Care located?

Advanced Dental Care is located at 125 Wedgewood Dr, Columbia, IL 62236. The listed phone number is (618) 281-9590.

What is Advanced Dental Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Advanced Dental Care was last updated on May 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.