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STATELINE DENTISTRY PC
NPI 1346126182
Dentist - General Practice in Richmond, IL

Active since August 15, 2025
3700 IL ROUTE 173, RICHMOND, IL 60071(815) 701-6411 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stateline Dentistry Pc NPPES

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

STATELINE DENTISTRY PC (NPI 1346126182) is a healthcare organization registered as a general practice in Richmond, Illinois and active in the NPI registry since August 2025. The organization lists Amanda Roberts, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1346126182
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSTATELINE DENTISTRY PC
Location Address3700 IL ROUTE 173Richmond, IL 60071-9614
Mailing Address3700 Il Route 173Richmond, IL 60071-9614 · (815) 701-6411
Phone(815) 701-6411
Organization SubpartNo
Authorized OfficialAmanda RobertsOffice Manager · (815) 385-4140
Enumeration DateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
✔ NPI 1346126182 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.
3700 IL ROUTE 173, Richmond, IL 60071
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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. ROLAND JOHN BARNES D.D.S.
Dentist (General Practice)
3700 IL ROUTE 173
RICHMOND, IL 60071
McHenry County (815) 678-7751

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 Stateline Dentistry PC's NPI number?

The NPI number for Stateline Dentistry PC is 1346126182. It was assigned to this organization in the NPPES registry on August 15, 2025.

Where is Stateline Dentistry PC located?

Stateline Dentistry PC is located at 3700 Il Route 173, Richmond, IL 60071. The listed phone number is (815) 701-6411.

What is Stateline Dentistry PC'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 Stateline Dentistry PC was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.