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FREEPORT DENTAL
NPI 1891165643
Dentist - General Practice in Freeport, IL

Active since October 05, 2015
1450 S WEST AVE, FREEPORT, IL 61032(815) 656-4060(815) 656-2324 Get Directions Write a Review

NPPES record last updated: October 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Freeport Dental NPPES

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

FREEPORT DENTAL (NPI 1891165643) is a healthcare organization registered as a general practice in Freeport, Illinois and active in the NPI registry since October 2015. The organization lists Scott Bares, Owner, as its authorized official.

NPPES Registry Identity

NPI1891165643
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFREEPORT DENTAL
Location Address1450 S WEST AVEFreeport, IL 61032-6351
Mailing Address1450 S West AveFreeport, IL 61032-6351 · (815) 656-4060 · Fax (815) 656-2324
Phone(815) 656-4060
Fax(815) 656-2324
Organization SubpartYesParent: Shadyoak Dental
Authorized OfficialScott BaresOwner · (815) 656-4060
Enumeration DateOctober 5, 2015
✔ NPI 1891165643 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 · 019027024
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.
1450 S WEST AVE, Freeport, IL 61032
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Other Identifiers 1

Other1164580734General Denistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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 Freeport Dental's NPI number?

The NPI number for Freeport Dental is 1891165643. It was assigned to this organization in the NPPES registry on October 5, 2015.

Where is Freeport Dental located?

Freeport Dental is located at 1450 S West Ave, Freeport, IL 61032. The listed phone number is (815) 656-4060.

What is Freeport Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Freeport Dental accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Humana and UnitedHealthcare list Freeport Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Freeport Dental was last updated on October 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.