ADVANCED DENTAL CARE OF SPRINGFIELD
NPI 1841540168
Dentist - General Practice in Springfield, IL

Active since September 13, 2012
4701 WABASH AVE, SPRINGFIELD, IL 62711(217) 546-3333(217) 546-1110 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Dental Care Of Springfield NPPES

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

ADVANCED DENTAL CARE OF SPRINGFIELD (NPI 1841540168) is a healthcare organization registered as a general practice in Springfield, Illinois and active in the NPI registry since September 2012. The organization lists Matt G Vandermolen, President, as its authorized official.

NPPES Registry Identity

NPI1841540168
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMATT VANDERMOLEN DDS PC
Location Address4701 WABASH AVESpringfield, IL 62711-9694
Mailing Address4701 Wabash AveSpringfield, IL 62711-9694 · (217) 546-3333 · Fax (217) 546-1110
Fax(217) 546-1110
Organization SubpartNo
Authorized OfficialMatt G VandermolenPresident · (217) 546-3333
Enumeration DateSeptember 13, 2012
NPI 1841540168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019019785
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.
4701 WABASH AVE, Springfield, IL 62711

Other Names 1

Doing Business AsAdvanced Dental Care Of Springfield

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 2

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

Dentist (General Practice)
4701 WABASH AVE
SPRINGFIELD, IL 62711
Dentist (General Practice)
4701 WABASH AVE
SPRINGFIELD, IL 62711

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 Matt Vandermolen Dds PC's NPI number?

The NPI number for Matt Vandermolen Dds PC is 1841540168. It was assigned to this organization in the NPPES registry on September 13, 2012. The provider is doing business as Advanced Dental Care Of Springfield.

Where is Matt Vandermolen Dds PC located?

Matt Vandermolen Dds PC is located at 4701 Wabash Ave, Springfield, IL 62711. The listed phone number is (217) 546-3333.

What is Matt Vandermolen Dds 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 Matt Vandermolen Dds PC was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.