CENTRAL ILLINOIS SMILES
NPI 1447847843
Dentist - General Practice in Decatur, IL

Active since December 31, 2020
3250 N WOODFORD ST, DECATUR, IL 62526(217) 877-1742 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 12, 2023, Dec 31, 2020 (2 updates tracked since 2020).

About Central Illinois Smiles NPPES

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

CENTRAL ILLINOIS SMILES (NPI 1447847843) is a healthcare organization registered as a general practice in Decatur, Illinois and active in the NPI registry since December 2020. The organization maintains a secondary practice location in Taylorville and lists Mary Katherine Booth, Owner /dentist, as its authorized official.

NPPES Registry Identity

NPI1447847843
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBUSKIRK & HAARMAN
Location Address3250 N WOODFORD STDecatur, IL 62526-2836
Mailing Address3250 N Woodford StDecatur, IL 62526-2836 · (217) 877-1742
Organization SubpartNo
Authorized OfficialMary Katherine BoothOwner /dentist · (217) 877-1742
Enumeration DateDecember 31, 2020
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
NPI 1447847843 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.

3250 N WOODFORD ST, Decatur, IL 62526

Other Names 1

Doing Business AsCentral Illinois Smiles

Secondary Practice Location 1

Location 1400 W Main Cross StTaylorville, IL 62568-2156 · Phone (217) 824-8232

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 3

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

Dentist (General Practice)
3250 N WOODFORD ST
DECATUR, IL 62526
Durable Medical Equipment & Medical Supplies (Customized Equipment)
3250 N WOODFORD ST
DECATUR, IL 62526
Dentist
3250 N WOODFORD ST
DECATUR, IL 62526

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447847843, enumerated as an "organization" on December 31, 2020.

The provider is located at 3250 N WOODFORD ST DECATUR, IL 62526 and the phone number is (217) 877-1742.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.