ADVANCED DENTAL CARE OF SPRINGFIELD LLP
NPI 1356947030
Dentist - General Practice in Springfield, IL

Active since December 08, 2020
4701 WABASH AVE, SPRINGFIELD, IL 62711(217) 546-3333(217) 546-1110 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Dental Care Of Springfield Llp NPPES

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

ADVANCED DENTAL CARE OF SPRINGFIELD LLP (NPI 1356947030) is a healthcare organization registered as a general practice in Springfield, Illinois and active in the NPI registry since December 2020. The organization lists Matt Gordon Vanfdermolen, Manager, as its authorized official.

NPPES Registry Identity

NPI1356947030
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameADVANCED DENTAL CARE OF SPRINGFIELD LLP
Location Address4701 WABASH AVESpringfield, IL 62711-9694
Mailing Address4701 Wabash AveSpringfield, IL 62711-9694 · (217) 546-3333 · Fax (217) 546-1110
Fax(217) 546-1110
Organization SubpartNo
Authorized OfficialMatt Gordon VanfdermolenManager · (217) 546-3333
Enumeration DateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
NPI 1356947030 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.

4701 WABASH AVE, Springfield, IL 62711

Other Identifiers 1

Other0190019785IL · Dental License Number For Matt G Vandermolen Dds

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 MULTIPLE 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 (General Practice)
4701 WABASH AVE
SPRINGFIELD, IL 62711
Dentist (General Practice)
4701 WABASH AVE
SPRINGFIELD, IL 62711

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 Of Springfield LLP's NPI number?

The NPI number for Advanced Dental Care Of Springfield LLP is 1356947030. It was assigned to this organization in the NPPES registry on December 8, 2020.

Where is Advanced Dental Care Of Springfield LLP located?

Advanced Dental Care Of Springfield LLP is located at 4701 Wabash Ave, Springfield, IL 62711. The listed phone number is (217) 546-3333.

What is Advanced Dental Care Of Springfield LLP'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 Advanced Dental Care Of Springfield LLP was last updated on December 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.