LINCOLN PLACE DENTAL PC
NPI 1417221532
Dentist - General Practice in Belleville, IL

Q: What is Lincoln Place Dental PC's NPI number?

The NPI number for Lincoln Place Dental PC is 1417221532. It was assigned to this organization in the NPPES registry on March 7, 2012.

Q: What is Lincoln Place Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since March 07, 2012

114 LINCOLN PLACE CT, BELLEVILLE, IL 62221(618) 257-9189(618) 257-9253 Get Directions Write a Review

NPPES record last updated: March 7, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Lincoln Place Dental Pc NPPES

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

LINCOLN PLACE DENTAL PC (NPI 1417221532) is a healthcare organization registered as a general practice in Belleville, Illinois and active in the NPI registry since March 2012. The organization lists Gerald Wayne Dortch, Owner, as its authorized official.

NPPES Registry Identity

NPI1417221532

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLINCOLN PLACE DENTAL PC

Location Address114 LINCOLN PLACE CTBelleville, IL 62221-5884

Mailing Address114 Lincoln Place CtBelleville, IL 62221-5884 · (618) 257-9189 · Fax (618) 257-9253

Phone(618) 257-9189

Fax(618) 257-9253

Organization SubpartNo

Authorized OfficialGerald Wayne DortchOwner · (618) 257-9189

Enumeration DateMarch 7, 2012

✔ NPI 1417221532 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 · 019016287

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.

114 LINCOLN PLACE CT, Belleville, IL 62221

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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

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 Lincoln Place Dental PC's NPI number?

The NPI number for Lincoln Place Dental PC is 1417221532. It was assigned to this organization in the NPPES registry on March 7, 2012.

Where is Lincoln Place Dental PC located?

Lincoln Place Dental PC is located at 114 Lincoln Place Ct, Belleville, IL 62221. The listed phone number is (618) 257-9189.

What is Lincoln Place Dental 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 Lincoln Place Dental PC was last updated on March 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.