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GREAT RIVERS DENTAL P.C.
NPI 1932814720
Clinic/Center in Bethalto, IL

Active since January 17, 2023
708 E BETHALTO DR, BETHALTO, IL 62010(618) 377-0044 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Rivers Dental P.c. NPPES

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

GREAT RIVERS DENTAL P.C. (NPI 1932814720) is a healthcare organization registered as a clinic/center in Bethalto, Illinois and active in the NPI registry since January 2023. The organization lists Matthew James Mccullough, President, as its authorized official.

NPPES Registry Identity

NPI1932814720
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGREAT RIVERS DENTAL P.C.
Location Address708 E BETHALTO DRBethalto, IL 62010-1871
Mailing Address708 E Bethalto DrBethalto, IL 62010-1871 · (618) 377-0044
Phone(618) 377-0044
Organization SubpartNo
Authorized OfficialMatthew James McculloughPresident · (618) 339-7248
Enumeration DateJanuary 17, 2023
NPPES CertifiedJanuary 17, 2023
✔ NPI 1932814720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
708 E BETHALTO DR, Bethalto, IL 62010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

AUDREY BRAKENSIEK DMD
Dentist (General Practice)
708 E BETHALTO DR
BETHALTO, IL 62010
Madison County (618) 377-0044

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 Great Rivers Dental P.C.'s NPI number?

The NPI number for Great Rivers Dental P.C. is 1932814720. It was assigned to this organization in the NPPES registry on January 17, 2023.

Where is Great Rivers Dental P.C. located?

Great Rivers Dental P.C. is located at 708 E Bethalto Dr, Bethalto, IL 62010. The listed phone number is (618) 377-0044.

What is Great Rivers Dental P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Great Rivers Dental P.C. accept?

Health plans from UnitedHealthcare list Great Rivers Dental P.C. 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 Great Rivers Dental P.C. was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.