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BEARDSTOWN FAMILY DENTAL
NPI 1629471016
Dentist - General Practice in Beardstown, IL

Active since September 30, 2014
507 WASHINGTON ST, BEARDSTOWN, IL 62618(217) 232-2701 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beardstown Family Dental NPPES

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

BEARDSTOWN FAMILY DENTAL (NPI 1629471016) is a healthcare organization registered as a general practice in Beardstown, Illinois and active in the NPI registry since September 2014. The organization lists Kim Wilson, Cred Supervisor, as its authorized official.

NPPES Registry Identity

NPI1629471016
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL PROFESSIONALS OF ILLINOIS, P.C.
Location Address507 WASHINGTON STBeardstown, IL 62618-1558
Mailing Address507 Washington StBeardstown, IL 62618-1558 · (217) 232-2701
Phone(217) 232-2701
Organization SubpartYes
Authorized OfficialKim WilsonCred Supervisor · (217) 540-5170
Enumeration DateSeptember 30, 2014
✔ NPI 1629471016 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.
507 WASHINGTON ST, Beardstown, IL 62618
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Other Names 1

Doing Business AsBeardstown Family Dental

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 5

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

SCHUYLER COUNTY HOSPITAL DISTRICT HEALTH CENTER INC
Clinic/Center
507 WASHINGTON ST
BEARDSTOWN, IL 62618
Cass County (217) 323-2245
DR. MOHAMMED KARIM LAKHSSASSI MD
Family Medicine
507 WASHINGTON ST
BEARDSTOWN, IL 62618
Cass County (217) 323-2245
MR. DANNY JOE FRIDAY PA
Physician Assistant
507 WASHINGTON ST
BEARDSTOWN, IL 62618
Cass County (217) 323-2245
JACKSON CANTER
Dentist
507 WASHINGTON ST
BEARDSTOWN, IL 62618
Cass County (217) 323-2701
DR. SEMBU KANTHILAL MD
Family Medicine
507 WASHINGTON ST
BEARDSTOWN, IL 62618
Cass County (217) 323-2245

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 1629471016. It was assigned to this organization in the NPPES registry on September 30, 2014. The provider is doing business as Beardstown Family Dental.

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

Dental Professionals Of Illinois, P.C. is located at 507 Washington St, Beardstown, IL 62618. The listed phone number is (217) 232-2701.

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.

When was this NPI record last updated?

The NPPES record for Dental Professionals Of Illinois, P.C. was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.