MARYVILLE FAMILY DENTAL
NPI 1639405731
Dentist in Maryville, IL

Q: What is Maryville Family Dental's NPI number?

The NPI number for Maryville Family Dental is 1639405731. It was assigned to this organization in the NPPES registry on October 23, 2009.

Q: What is Maryville Family Dental's specialty?

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

Active since October 23, 2009

2921 NORTH CENTER STREET, SUITE 8-9, MARYVILLE, IL 62062(618) 288-7804(618) 288-7918 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Maryville Family Dental NPPES

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

MARYVILLE FAMILY DENTAL (NPI 1639405731) is a healthcare organization registered as a dentist in Maryville, Illinois and active in the NPI registry since October 2009. The organization lists Amanda Henderson, Accounts Payable, as its authorized official.

NPPES Registry Identity

NPI1639405731

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMARYVILLE FAMILY DENTAL

Location Address2921 NORTH CENTER STREET, SUITE 8-9Maryville, IL 62062

Mailing Address26 Ginger Creek Pkwy, Po Box 430Glen Carbon, IL 62034-3502 · (618) 288-6201 · Fax (618) 288-6452

Phone(618) 288-7804

Fax(618) 288-7918

Organization SubpartNo

Authorized OfficialAmanda HendersonAccounts Payable · (618) 288-6201

Enumeration DateOctober 23, 2009

Last NPPES UpdateOctober 8, 2012

✔ NPI 1639405731 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.

2921 NORTH CENTER STREET, Maryville, IL 62062

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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 Maryville Family Dental's NPI number?

The NPI number for Maryville Family Dental is 1639405731. It was assigned to this organization in the NPPES registry on October 23, 2009.

Where is Maryville Family Dental located?

Maryville Family Dental is located at 2921 North Center Street Suite 8-9, Maryville, IL 62062. The listed phone number is (618) 288-7804.

What is Maryville Family Dental's specialty?

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

What insurance does Maryville Family Dental accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Maryville Family Dental 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 Maryville Family Dental was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.