CUSTOM DENTAL CARE, P.C.
NPI 1932452893
Dentist in Quincy, IL

Q: What is Custom Dental Care, P.C.'s NPI number?

The NPI number for Custom Dental Care, P.C. is 1932452893. It was assigned to this organization in the NPPES registry on October 17, 2012.

Q: What is Custom Dental Care, P.C.'s specialty?

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

Active since October 17, 2012

3740 E LAKE CTR STE B, QUINCY, IL 62305(217) 214-4545(217) 214-4546 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Custom Dental Care, P.c. NPPES

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

CUSTOM DENTAL CARE, P.C. (NPI 1932452893) is a healthcare organization registered as a dentist in Quincy, Illinois and active in the NPI registry since October 2012. The organization lists Dennis Ryan Wagner, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1932452893

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameCUSTOM DENTAL CARE, P.C.

Location Address3740 E LAKE CTR STE BQuincy, IL 62305-5805

Mailing Address3740 E Lake Ctr Ste BQuincy, IL 62305-5805 · (217) 214-4545 · Fax (217) 214-4546

Phone(217) 214-4545

Fax(217) 214-4546

Organization SubpartNo

Authorized OfficialDennis Ryan WagnerOwner/president · (217) 430-1429

Enumeration DateOctober 17, 2012

✔ NPI 1932452893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019027406

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.

3740 E LAKE CTR STE B, Quincy, IL 62305

Open in Google Maps ↗

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

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 Custom Dental Care, P.C.'s NPI number?

The NPI number for Custom Dental Care, P.C. is 1932452893. It was assigned to this organization in the NPPES registry on October 17, 2012.

Where is Custom Dental Care, P.C. located?

Custom Dental Care, P.C. is located at 3740 E Lake Ctr Ste B, Quincy, IL 62305. The listed phone number is (217) 214-4545.

What is Custom Dental Care, P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Custom Dental Care, P.C. was last updated on October 17, 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.