SIGNATURE FAMILY DENTAL
NPI 1306401591
Dentist in Collinsville, IL

Active since May 03, 2019
1170 BELT LINE RD, COLLINSVILLE, IL 62234(618) 345-1400 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Signature Family Dental NPPES

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

SIGNATURE FAMILY DENTAL (NPI 1306401591) is a healthcare organization registered as a dentist in Collinsville, Illinois and active in the NPI registry since May 2019. The organization lists Heather Danielle Mahassek, Owner, as its authorized official.

NPPES Registry Identity

NPI1306401591
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSIGNATURE FAMILY DENTAL
Location Address1170 BELT LINE RDCollinsville, IL 62234-4372
Mailing Address1170 Belt Line RdCollinsville, IL 62234-4372 · (618) 345-1400
Organization SubpartNo
Authorized OfficialHeather Danielle MahassekOwner · (618) 709-2934
Enumeration DateMay 3, 2019
NPI 1306401591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
1170 BELT LINE RD, Collinsville, IL 62234

Other Identifiers 1

Other1003291162IL · Individual Npi

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 2

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

Dentist
1170 BELT LINE RD
COLLINSVILLE, IL 62234
Clinic/Center (Dental)
1170 BELT LINE RD
COLLINSVILLE, IL 62234

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 Signature Family Dental's NPI number?

The NPI number for Signature Family Dental is 1306401591. It was assigned to this organization in the NPPES registry on May 3, 2019.

Where is Signature Family Dental located?

Signature Family Dental is located at 1170 Belt Line Rd, Collinsville, IL 62234. The listed phone number is (618) 345-1400.

What is Signature Family Dental's specialty?

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

When was this NPI record last updated?

The NPPES record for Signature Family Dental was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.