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DEER RUN DENTAL, PC
NPI 1780316596
Dentist - General Practice in O'fallon, IL

Active since June 29, 2022
717 INSIGHT AVE, SUITE 200, O'FALLON, IL 62269(618) 277-6550(618) 800-2906 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deer Run Dental, Pc NPPES

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

DEER RUN DENTAL, PC (NPI 1780316596), doing business as Innovation Dental, is a healthcare organization registered as a general practice in O'fallon, Illinois and active in the NPI registry since June 2022. The organization lists Alex J Schillinger, Owner, as its authorized official.

NPPES Registry Identity

NPI1780316596
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDEER RUN DENTAL, PC
Location Address717 INSIGHT AVE, SUITE 200O'fallon, IL 62269
Mailing Address717 Insight Ave, Suite 200O'fallon, IL 62269 · (618) 277-6550 · Fax (618) 800-2906
Phone(618) 277-6550
Fax(618) 800-2906
Organization SubpartNo
Authorized OfficialAlex J SchillingerOwner · (618) 698-1871
Enumeration DateJune 29, 2022
NPPES CertifiedJune 29, 2022
✔ NPI 1780316596 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.
717 INSIGHT AVE, O'fallon, IL 62269
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Other Names 1

Doing Business AsInnovation Dental

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 3

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

DR. CHRISTOPHER JAMES ANDERSON DPM
Podiatrist (Foot Surgery)
717 INSIGHT AVE, SUITE 100
O'FALLON, IL 62269
St. Clair County (618) 277-9533
INNOVATION DENTAL AND IMPLANT LLC
Dentist
717 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 277-6550
NATALIE MOTA DPM
Podiatrist (Foot & Ankle Surgery)
717 INSIGHT AVE, SUITE 100
O'FALLON, IL 62269
St. Clair County (618) 277-9533

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 Deer Run Dental, PC's NPI number?

The NPI number for Deer Run Dental, PC is 1780316596. It was assigned to this organization in the NPPES registry on June 29, 2022. The provider is doing business as Innovation Dental.

Where is Deer Run Dental, PC located?

Deer Run Dental, PC is located at 717 Insight Ave Suite 200, O'fallon, IL 62269. The listed phone number is (618) 277-6550.

What is Deer Run Dental, PC'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 Deer Run Dental, PC was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.