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MARKET STREET FAMILY DENTIST, PC
NPI 1770122194
Clinic/Center - Dental in Troy, IL

Active since January 02, 2020
212 E MARKET ST, TROY, IL 62294(618) 667-6101 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2023, Jan 2, 2020 (2 updates tracked since 2020).

About Market Street Family Dentist, Pc NPPES

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

MARKET STREET FAMILY DENTIST, PC (NPI 1770122194) is a healthcare organization registered as a dental in Troy, Illinois and active in the NPI registry since January 2020. The organization lists Beau Moody, President, as its authorized official.

NPPES Registry Identity

NPI1770122194
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMARKET STREET FAMILY DENTIST, PC
Location Address212 E MARKET STTroy, IL 62294-1512
Mailing Address212 E Market StTroy, IL 62294-1512 · (618) 667-6101
Phone(618) 667-6101
Organization SubpartNo
Authorized OfficialBeau MoodyPresident · (618) 667-6101
Enumeration DateJanuary 2, 2020
Last NPPES UpdateJuly 24, 20232 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
✔ NPI 1770122194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
212 E MARKET ST, Troy, IL 62294
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK F PORTER DMD
Dentist (General Practice)
212 E MARKET ST
TROY, IL 62294
Madison County (618) 667-6101
DR. TAYLOR R PETRICH DMD
Dentist
212 E MARKET ST
TROY, IL 62294
Madison County (618) 283-4900

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 Market Street Family Dentist, PC's NPI number?

The NPI number for Market Street Family Dentist, PC is 1770122194. It was assigned to this organization in the NPPES registry on January 2, 2020.

Where is Market Street Family Dentist, PC located?

Market Street Family Dentist, PC is located at 212 E Market St, Troy, IL 62294. The listed phone number is (618) 667-6101.

What is Market Street Family Dentist, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Market Street Family Dentist, PC was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.