LEWIS AND CLARK COMMUNITY COLLEGE DENTAL HYGIENE CLINIC
NPI 1497746077
Dentist in Godfrey, IL

Q: What is Lewis And Clark Community College's NPI number?

The NPI number for Lewis And Clark Community College is 1497746077. It was assigned to this organization in the NPPES registry on November 2, 2005. The provider is doing business as Lewis And Clark Community College Dental Hygiene Clinic.

Q: What is Lewis And Clark Community College's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since November 02, 2005

5800 GODFREY RD, GODFREY, IL 62035(618) 468-4463(618) 468-4408 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lewis And Clark Community College Dental Hygiene Clinic NPPES

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

LEWIS AND CLARK COMMUNITY COLLEGE DENTAL HYGIENE CLINIC (NPI 1497746077) is a healthcare organization registered as a dentist in Godfrey, Illinois and active in the NPI registry since November 2005. The organization lists John Randall Miller, Clinic Supervisor, as its authorized official.

NPPES Registry Identity

NPI1497746077

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameLEWIS AND CLARK COMMUNITY COLLEGE

Location Address5800 GODFREY RDGodfrey, IL 62035-2466

Mailing Address5800 Godfrey RdGodfrey, IL 62035-2466 · (618) 468-4463 · Fax (618) 468-4408

Phone(618) 468-4463

Fax(618) 468-4408

Organization SubpartNo

Authorized OfficialJohn Randall MillerClinic Supervisor · (618) 468-4414

Enumeration DateNovember 2, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1497746077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5800 GODFREY RD, Godfrey, IL 62035

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Other Names 1

Doing Business AsLewis And Clark Community College Dental Hygiene Clinic

Other Identifiers 1

Medicaid9176253IL

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 6

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

MS. BENEDICTA I ODEMERHO FNP

Nurse Practitioner (Family)

5800 GODFREY RD, FOBES 1525
GODFREY, IL 62035

Madison County (618) 468-6800

DANA RENEE LONGMEYER FNP

Nurse Practitioner (Family)

5800 GODFREY RD
GODFREY, IL 62035

Madison County (618) 468-4431

COMMUNITY COLLEGE DISTRICT 536

Nurse Practitioner (Family)

5800 GODFREY RD, FOBES 1525
GODFREY, IL 62035

Madison County (618) 468-6800

DR. JOHN RANDALL MILLER D.D.S.

Dentist

5800 GODFREY RD
GODFREY, IL 62035

Madison County (618) 468-4414

VIRGINIA M SCROGGINS

Nurse Practitioner (Family)

5800 GODFREY RD
GODFREY, IL 62035

Madison County (618) 468-4440

KAYLA HARTIGAN

Specialist/Technologist (Athletic Trainer)

5800 GODFREY RD
GODFREY, IL 62035

Madison County (847) 315-0338

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 Lewis And Clark Community College's NPI number?

The NPI number for Lewis And Clark Community College is 1497746077. It was assigned to this organization in the NPPES registry on November 2, 2005. The provider is doing business as Lewis And Clark Community College Dental Hygiene Clinic.

Where is Lewis And Clark Community College located?

Lewis And Clark Community College is located at 5800 Godfrey Rd, Godfrey, IL 62035. The listed phone number is (618) 468-4463.

What is Lewis And Clark Community College's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Lewis And Clark Community College was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.