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COAL CITY DENTAL CENTER
NPI 1356604672
Dentist - General Practice in Coal City, IL

Active since June 21, 2012
645 E DIVISION ST, COAL CITY, IL 60416(815) 634-4999(815) 634-0014 Get Directions Write a Review

NPPES record last updated: June 21, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coal City Dental Center NPPES

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

COAL CITY DENTAL CENTER (NPI 1356604672) is a healthcare organization registered as a general practice in Coal City, Illinois and active in the NPI registry since June 2012. The organization lists Robin Lynn Trevison, Dentist, as its authorized official.

NPPES Registry Identity

NPI1356604672
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOAL CITY DENTAL CENTER
Location Address645 E DIVISION STCoal City, IL 60416-1679
Mailing Address645 E Division StCoal City, IL 60416-1679 · (815) 634-4999 · Fax (815) 634-0014
Phone(815) 634-4999
Fax(815) 634-0014
Organization SubpartNo
Authorized OfficialRobin Lynn TrevisonDentist · (815) 634-4999
Enumeration DateJune 21, 2012
✔ NPI 1356604672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019020745
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.
645 E DIVISION ST, Coal City, IL 60416
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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.

ROBIN TREVISON D.M.D
Dentist (General Practice)
645 E DIVISION ST
COAL CITY, IL 60416
Grundy County (815) 634-4999

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 Coal City Dental Center's NPI number?

The NPI number for Coal City Dental Center is 1356604672. It was assigned to this organization in the NPPES registry on June 21, 2012.

Where is Coal City Dental Center located?

Coal City Dental Center is located at 645 E Division St, Coal City, IL 60416. The listed phone number is (815) 634-4999.

What is Coal City Dental Center'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 Coal City Dental Center was last updated on June 21, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.