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BOLLAERT'S ILLINI DENTAL ASSOCIATES
NPI 1790970200
Dentist - General Practice in East Moline, IL

Active since September 07, 2007
2909 19TH ST, EAST MOLINE, IL 61244(309) 796-2251(309) 796-2274 Get Directions Write a Review

NPPES record last updated: September 7, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bollaert's Illini Dental Associates NPPES

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

BOLLAERT'S ILLINI DENTAL ASSOCIATES (NPI 1790970200) is a healthcare organization registered as a general practice in East Moline, Illinois and active in the NPI registry since September 2007. The organization lists Kory M Melin, Dentist, as its authorized official.

NPPES Registry Identity

NPI1790970200
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOLLAERT'S ILLINI DENTAL ASSOCIATES
Location Address2909 19TH STEast Moline, IL 61244-5019
Mailing Address2909 19th StEast Moline, IL 61244-5019 · (309) 796-2251 · Fax (309) 796-2274
Phone(309) 796-2251
Fax(309) 796-2274
Organization SubpartNo
Authorized OfficialKory M MelinDentist · (309) 796-2251
Enumeration DateSeptember 7, 2007
✔ NPI 1790970200 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.
2909 19TH ST, East Moline, IL 61244
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. JOHNATHAN J FEEHAN D.D.S.
Dentist
2909 19TH ST
EAST MOLINE, IL 61244
Rock Island County (309) 796-2251

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 Bollaert's Illini Dental Associates's NPI number?

The NPI number for Bollaert's Illini Dental Associates is 1790970200. It was assigned to this organization in the NPPES registry on September 7, 2007.

Where is Bollaert's Illini Dental Associates located?

Bollaert's Illini Dental Associates is located at 2909 19th St, East Moline, IL 61244. The listed phone number is (309) 796-2251.

What is Bollaert's Illini Dental Associates'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 Bollaert's Illini Dental Associates was last updated on September 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.