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SPRINGFIELD PERIODONTICS LLC
NPI 1649342999
Dentist - Periodontics in Springfield, IL

Active since November 14, 2006
2025 W ILES AVE, SPRINGFIELD, IL 62704(217) 787-6761(217) 787-6611 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Springfield Periodontics Llc NPPES

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

SPRINGFIELD PERIODONTICS LLC (NPI 1649342999) is a healthcare organization registered as a periodontics in Springfield, Illinois and active in the NPI registry since November 2006. The organization lists James William Davis, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1649342999
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameSPRINGFIELD PERIODONTICS LLC
Location Address2025 W ILES AVESpringfield, IL 62704-4190
Mailing Address2025 W Iles AveSpringfield, IL 62704-4190 · (217) 787-6761 · Fax (217) 787-6611
Phone(217) 787-6761
Fax(217) 787-6611
Organization SubpartNo
Authorized OfficialJames William DavisPeriodontist · (217) 787-6761
Enumeration DateNovember 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649342999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2025 W ILES AVE, Springfield, IL 62704
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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 MULTIPLE 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.

TODD J. HUGHES D.C.
Chiropractor
2025 W ILES AVE, SUITE A
SPRINGFIELD, IL 62704
Sangamon County (217) 787-7500
MS. SUSAN MARIE MINDER D.C.
Chiropractor
2025 W ILES AVE, SUITE B
SPRINGFIELD, IL 62704
Sangamon County (217) 241-5300
NXT LEVEL WELLNESS, LLC
Chiropractor
2025 W ILES AVE
SPRINGFIELD, IL 62704
Sangamon County (217) 787-7500
HUGHES CHIROPRACTIC HEALTHCARE SC
Chiropractor
2025 W ILES AVE, SUITE A
SPRINGFIELD, IL 62704
Sangamon County (217) 787-7500
DR. JAMES WILLIAM DAVIS D.M.D
Dentist (Periodontics)
2025 W ILES AVE, SUITE F
SPRINGFIELD, IL 62704
Sangamon County (217) 787-6761

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 Springfield Periodontics LLC's NPI number?

The NPI number for Springfield Periodontics LLC is 1649342999. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Springfield Periodontics LLC located?

Springfield Periodontics LLC is located at 2025 W Iles Ave, Springfield, IL 62704. The listed phone number is (217) 787-6761.

What is Springfield Periodontics LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Springfield Periodontics LLC 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.