GRANITE CITY DENTAL CARE LTD
NPI 1750609418
Dentist in Champaign, IL

Active since May 05, 2010
2102 N MARKET ST, CHAMPAIGN, IL 61822(618) 877-0780(618) 877-8450 Get Directions Write a Review

NPPES record last updated: May 5, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Granite City Dental Care Ltd NPPES

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

GRANITE CITY DENTAL CARE LTD (NPI 1750609418) is a healthcare organization registered as a dentist in Champaign, Illinois and active in the NPI registry since May 2010. The organization lists La Nae Wood, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1750609418
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGRANITE CITY DENTAL CARE LTD
Location Address2102 N MARKET STChampaign, IL 61822-1306
Mailing Address2130 Johnson RdGranite City, IL 62040-3961 · (618) 877-0780 · Fax (618) 877-8450
Fax(618) 877-8450
Organization SubpartYesParent: Granite City Dental Care
Authorized OfficialLa Nae WoodOffice Manager · (217) 351-2650
Enumeration DateMay 5, 2010
NPI 1750609418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IL · 019.0225511
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.
2102 N MARKET ST, Champaign, IL 61822

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.

Health Maintenance Organization
2102 N MARKET ST
CHAMPAIGN, IL 61822
Dentist
2102 N MARKET ST
CHAMPAIGN, IL 61822
Clinic/Center (Dental)
2102 N MARKET ST
CHAMPAIGN, IL 61822
Dentist (General Practice)
2102 N MARKET ST
CHAMPAIGN, IL 61822
Dentist
2102 N MARKET ST
CHAMPAIGN, IL 61822

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 Granite City Dental Care Ltd's NPI number?

The NPI number for Granite City Dental Care Ltd is 1750609418. It was assigned to this organization in the NPPES registry on May 5, 2010.

Where is Granite City Dental Care Ltd located?

Granite City Dental Care Ltd is located at 2102 N Market St, Champaign, IL 61822. The listed phone number is (618) 877-0780.

What is Granite City Dental Care Ltd'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 Granite City Dental Care Ltd was last updated on May 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.