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COMMUNITY DENTAL CENTER
NPI 1962674788
Clinic/Center - Dental in Carbondale, IL

Active since April 01, 2008
1365 DOUGLAS DRIVE, CARBONDALE, IL 62901(618) 453-2353 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Community Dental Center NPPES

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

COMMUNITY DENTAL CENTER (NPI 1962674788) is a healthcare organization registered as a dental in Carbondale, Illinois and active in the NPI registry since April 2008. The organization lists Lauren Cripps, Dentist, as its authorized official.

NPPES Registry Identity

NPI1962674788
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOUTHERN ILLINOIS UNIVERSITY CARBONDALE
Location Address1365 DOUGLAS DRIVECarbondale, IL 62901
Mailing Address1365 Douglas DriveCarbondale, IL 62901 · (618) 453-2353
Phone(618) 453-2353
Organization SubpartYes
Authorized OfficialLauren CrippsDentist · (618) 453-2353
Enumeration DateApril 1, 2008
Last NPPES UpdateSeptember 24, 2021
NPPES CertifiedSeptember 24, 2021
✔ NPI 1962674788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in IL · 019024395
1365 DOUGLAS DRIVE, Carbondale, IL 62901
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Other Names 1

Doing Business AsCommunity Dental Center

Other Identifiers 4

Medicaid1023008364IL
Medicaid1295716959IL
Medicaid019.032439IL
Medicaid1184615866IL

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 Southern Illinois University Carbondale's NPI number?

The NPI number for Southern Illinois University Carbondale is 1962674788. It was assigned to this organization in the NPPES registry on April 1, 2008. The provider is doing business as Community Dental Center.

Where is Southern Illinois University Carbondale located?

Southern Illinois University Carbondale is located at 1365 Douglas Drive, Carbondale, IL 62901. The listed phone number is (618) 453-2353.

What is Southern Illinois University Carbondale's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Southern Illinois University Carbondale was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.