PREMIER DENTAL OF MT VERNON PC
NPI 1932479235
Dentist in Mount Vernon, IL

Active since January 04, 2012
9 CUSUMANO PROFESSIONAL PLAZA DR, MOUNT VERNON, IL 62864(618) 315-6213 Get Directions Write a Review

NPPES record last updated: January 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Dental Of Mt Vernon Pc NPPES

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

PREMIER DENTAL OF MT VERNON PC (NPI 1932479235) is a healthcare organization registered as a dentist in Mount Vernon, Illinois and active in the NPI registry since January 2012. The organization lists Carla Geha, President/dentist, as its authorized official.

NPPES Registry Identity

NPI1932479235
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePREMIER DENTAL OF MT VERNON PC
Location Address9 CUSUMANO PROFESSIONAL PLAZA DRMount Vernon, IL 62864-6736
Mailing AddressPo Box 1003Mount Vernon, IL 62864-0021 · (618) 315-6213
Organization SubpartNo
Authorized OfficialCarla GehaPresident/dentist · (618) 315-6213
Enumeration DateJanuary 4, 2012
NPI 1932479235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IL · 019028108
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.
9 CUSUMANO PROFESSIONAL PLAZA DR, Mount Vernon, IL 62864

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 4

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

Counselor (Professional)
9 CUSUMANO PROFESSIONAL PLAZA DR
MOUNT VERNON, IL 62864
Specialist
9 CUSUMANO PROFESSIONAL PLAZA DR
MOUNT VERNON, IL 62864
Case Management
9 CUSUMANO PROFESSIONAL PLAZA DR
MOUNT VERNON, IL 62864
Dentist
9 CUSUMANO PROFESSIONAL PLAZA DR
MOUNT VERNON, IL 62864

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 Premier Dental Of Mt Vernon PC's NPI number?

The NPI number for Premier Dental Of Mt Vernon PC is 1932479235. It was assigned to this organization in the NPPES registry on January 4, 2012.

Where is Premier Dental Of Mt Vernon PC located?

Premier Dental Of Mt Vernon PC is located at 9 Cusumano Professional Plaza Dr, Mount Vernon, IL 62864. The listed phone number is (618) 315-6213.

What is Premier Dental Of Mt Vernon PC'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 Premier Dental Of Mt Vernon PC was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.