COLLEGE AVENUE FAMILY DENTISTRY
NPI 1447472790
Dentist - General Practice in Alton, IL

Active since May 03, 2007
3430 COLLEGE AVENUE, ALTON, IL 62002(618) 465-5727(618) 465-5504 Get Directions Write a Review

NPPES record last updated: January 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About College Avenue Family Dentistry NPPES

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

COLLEGE AVENUE FAMILY DENTISTRY (NPI 1447472790) is a healthcare organization registered as a general practice in Alton, Illinois and active in the NPI registry since May 2007. The organization lists Lindsay Bearden, Ins Cood, as its authorized official.

NPPES Registry Identity

NPI1447472790
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL PROFESSIONALS OF ILLINOIS, P.C.
Location Address3430 COLLEGE AVENUEAlton, IL 62002
Mailing Address3430 College AvenueAlton, IL 62002 · (618) 465-5727 · Fax (618) 465-5504
Fax(618) 465-5504
Organization SubpartYes
Authorized OfficialLindsay BeardenIns Cood · (217) 540-5100
Enumeration DateMay 3, 2007
Last NPPES UpdateJanuary 7, 2014
NPI 1447472790 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.
3430 COLLEGE AVENUE, Alton, IL 62002

Other Names 1

Doing Business AsCollege Avenue Family Dentistry

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

Accepted Insurance

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 Dental Professionals Of Illinois, P.C.'s NPI number?

The NPI number for Dental Professionals Of Illinois, P.C. is 1447472790. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as College Avenue Family Dentistry.

Where is Dental Professionals Of Illinois, P.C. located?

Dental Professionals Of Illinois, P.C. is located at 3430 College Avenue, Alton, IL 62002. The listed phone number is (618) 465-5727.

What is Dental Professionals Of Illinois, P.C.'s specialty?

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

What insurance does Dental Professionals Of Illinois, P.C. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Dental Professionals Of Illinois, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dental Professionals Of Illinois, P.C. was last updated on January 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.