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SOUTHERN IL DENTAL SLEEP MEDICINE
NPI 1629407119
Dentist in Murphysboro, IL

Active since November 05, 2013
864 KOONCE RD, MURPHYSBORO, IL 62966(618) 529-2471(618) 529-2482 Get Directions Write a Review

NPPES record last updated: November 5, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Il Dental Sleep Medicine NPPES

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

SOUTHERN IL DENTAL SLEEP MEDICINE (NPI 1629407119) is a healthcare organization registered as a dentist in Murphysboro, Illinois and active in the NPI registry since November 2013. The organization lists Michael R Durr, Owner, as its authorized official.

NPPES Registry Identity

NPI1629407119
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSOUTHERN IL DENTAL SLEEP MEDICINE
Location Address864 KOONCE RDMurphysboro, IL 62966-6048
Mailing Address864 Koonce RdMurphysboro, IL 62966-6048 · (618) 529-2471 · Fax (618) 529-2482
Phone(618) 529-2471
Fax(618) 529-2482
Organization SubpartNo
Authorized OfficialMichael R DurrOwner · (618) 529-2471
Enumeration DateNovember 5, 2013
✔ NPI 1629407119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 060.011093
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.

864 KOONCE RD, Murphysboro, IL 62966
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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 Southern Il Dental Sleep Medicine's NPI number?

The NPI number for Southern Il Dental Sleep Medicine is 1629407119. It was assigned to this organization in the NPPES registry on November 5, 2013.

Where is Southern Il Dental Sleep Medicine located?

Southern Il Dental Sleep Medicine is located at 864 Koonce Rd, Murphysboro, IL 62966. The listed phone number is (618) 529-2471.

What is Southern Il Dental Sleep Medicine'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 Southern Il Dental Sleep Medicine was last updated on November 5, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.