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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BROOKE BRIANNE DETERS DMD
NPI 1700703840
Dentist in Glen Carbon, IL

Active since June 30, 2026
1 GLEN ED PROFESSIONAL PARK, GLEN CARBON, IL 62034(618) 656-0608 Get Directions Write a Review

NPPES record added: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brooke Brianne Deters Dmd NPPES

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

BROOKE BRIANNE DETERS DMD (NPI 1700703840) is an individual dentist in Glen Carbon, Illinois, licensed in Illinois (019037241) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1700703840
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameBROOKE BRIANNE DETERSCredential: DMD
Location Address1 GLEN ED PROFESSIONAL PARKGlen Carbon, IL 62034-3333
Mailing Address169 Holiday DrEdwardsville, IL 62025-5317
Phone(618) 656-0608
Sole ProprietorNo
Enumeration DateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1700703840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019037241
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.
1 GLEN ED PROFESSIONAL PARK, Glen Carbon, IL 62034
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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 Brooke Deters's NPI number?

The NPI number for Brooke Deters is 1700703840. It was assigned to this individual provider in the NPPES registry on June 30, 2026.

Where is Brooke Deters located?

Brooke Deters practices at 1 Glen Ed Professional Park, Glen Carbon, IL 62034. The listed phone number is (618) 656-0608.

What is Brooke Deters'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 Brooke Deters was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.