GLEN CARBON FAMILY DENTISTRY
NPI 1689886681
Dentist - General Practice in Glen Carbon, IL

Q: 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.

Active since May 04, 2007

4235 S STATE ROAD 159, GLEN CARBON, IL 62034(618) 288-6204(618) 288-6268 Get Directions Write a Review

NPPES record last updated: January 7, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Glen Carbon Family Dentistry NPPES

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

GLEN CARBON FAMILY DENTISTRY (NPI 1689886681) is a healthcare organization registered as a general practice in Glen Carbon, Illinois and active in the NPI registry since May 2007. The organization lists Lindsay Bearden, Ins Cood, as its authorized official.

NPPES Registry Identity

NPI1689886681

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDENTAL PROFESSIONALS OF ILLINOIS, P.C.

Location Address4235 S STATE ROAD 159Glen Carbon, IL 62034

Mailing Address4235 S State Road 159Glen Carbon, IL 62034 · (618) 288-6204 · Fax (618) 288-6268

Phone(618) 288-6204

Fax(618) 288-6268

Organization SubpartYes

Authorized OfficialLindsay BeardenIns Cood · (217) 540-5100

Enumeration DateMay 4, 2007

Last NPPES UpdateJanuary 7, 2014

✔ NPI 1689886681 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.

4235 S STATE ROAD 159, Glen Carbon, IL 62034

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Other Names 1

Doing Business AsGlen Carbon Family Dentistry

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 Dental Professionals Of Illinois, P.C.'s NPI number?

The NPI number for Dental Professionals Of Illinois, P.C. is 1689886681. It was assigned to this organization in the NPPES registry on May 4, 2007. The provider is doing business as Glen Carbon Family Dentistry.

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

Dental Professionals Of Illinois, P.C. is located at 4235 S State Road 159, Glen Carbon, IL 62034. The listed phone number is (618) 288-6204.

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 January 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.