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AL WEATHERFORD DDS INC
NPI 1396185633
Dentist - General Practice in Kankakee, IL

Active since July 01, 2013
200 E COURT ST, SUITE 504, KANKAKEE, IL 60901(815) 932-3613 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Al Weatherford Dds Inc NPPES

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

AL WEATHERFORD DDS INC (NPI 1396185633) is a healthcare organization registered as a general practice in Kankakee, Illinois and active in the NPI registry since July 2013. The organization lists Alvin D Weatherford, Dentist, as its authorized official.

NPPES Registry Identity

NPI1396185633
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAL WEATHERFORD DDS INC
Location Address200 E COURT ST, SUITE 504Kankakee, IL 60901-3843
Mailing Address200 E Court St, Suite 504Kankakee, IL 60901-3843 · (815) 932-3613
Phone(815) 932-3613
Organization SubpartNo
Authorized OfficialAlvin D WeatherfordDentist · (815) 932-3616
Enumeration DateJuly 1, 2013
✔ NPI 1396185633 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 · BW5933153
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.
200 E COURT ST, Kankakee, IL 60901
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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 4

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

EMILY KRZYSTYNIAK
Speech-Language Pathologist
200 E COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 304-5548
JOHN T PETERSON DDS PC
Dentist
200 E COURT ST, SUITE 504
KANKAKEE, IL 60901
Kankakee County (815) 932-3613
MRS. JENNIFER JEAN KRAVAT M.S. CCC/SLP-L
Speech-Language Pathologist
200 E COURT ST, SUITE 708
KANKAKEE, IL 60901
Kankakee County (815) 409-6456
DEBORAH WRIGHT RN
Registered Nurse
200 E COURT ST, SUITE 500
KANKAKEE, IL 60901
Kankakee County (815) 933-3955

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 Al Weatherford Dds Inc's NPI number?

The NPI number for Al Weatherford Dds Inc is 1396185633. It was assigned to this organization in the NPPES registry on July 1, 2013.

Where is Al Weatherford Dds Inc located?

Al Weatherford Dds Inc is located at 200 E Court St Suite 504, Kankakee, IL 60901. The listed phone number is (815) 932-3613.

What is Al Weatherford Dds Inc'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 Al Weatherford Dds Inc was last updated on July 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.