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ROXANNE WINEBAUGH DMD
NPI 1912524596
Dentist in O Fallon, IL

Active since June 30, 2020
309 TAMARACK LN, O FALLON, IL 62269(618) 624-7200 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2025, Jun 30, 2020 (2 updates tracked since 2020).

About Roxanne Winebaugh Dmd NPPES

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

ROXANNE WINEBAUGH DMD (NPI 1912524596) is an individual dentist in O Fallon, Illinois, licensed in Illinois (019032747) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1912524596
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameROXANNE WINEBAUGHCredential: DMD
Location Address309 TAMARACK LNO Fallon, IL 62269-2993
Mailing Address309 Tamarack LnO Fallon, IL 62269-2993 · (618) 624-7200
Phone(618) 624-7200
Sole ProprietorNo
Enumeration DateJune 30, 2020
Last NPPES UpdateMarch 10, 20252 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1912524596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in IL · 019032747✔ Licensed in MO · 2020018228
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
309 TAMARACK LN, O Fallon, IL 62269
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Other Names 1

Former Name (1)Roxanne Dudovitz Dmd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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.

SHAWNA JADE PERRY DMD
Dentist (General Practice)
309 TAMARACK LN
SHILOH, IL 62269
St. Clair County (618) 624-7200
SAMANTHA SCOMA D.M.D.
Student in an Organized Health Care Education/Training Program
309 TAMARACK LN
SHILOH, IL 62269
St. Clair County (618) 624-7200
BROOKE JUNEAU DMD
Dentist
309 TAMARACK LN
SHILOH, IL 62269
St. Clair County (618) 624-7200

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 Roxanne Winebaugh's NPI number?

The NPI number for Roxanne Winebaugh is 1912524596. It was assigned to this individual provider in the NPPES registry on June 30, 2020. The provider is also known as Roxanne Dudovitz Dmd.

Where is Roxanne Winebaugh located?

Roxanne Winebaugh practices at 309 Tamarack Ln, O Fallon, IL 62269. The listed phone number is (618) 624-7200.

What is Roxanne Winebaugh's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Roxanne Winebaugh accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Roxanne Winebaugh 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 Roxanne Winebaugh was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.