DR. ROBERT DUANE DOUGLAS (NPI# 1003938663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003938663 |
| Entity Type | Individual |
| Full Name | DR. ROBERT DUANE DOUGLAS |
| Credential | D.M.D., M.S. |
| Practice Address |
160 S Bellwood Dr Ste B East Alton IL 62024-2086 |
| Practice Telephone | 6182581300 |
| Mailing Telephone | 6182581300 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194108225 | Robert Douglas Jr. | Contractor | 65 Grand Valley Ct, Howard, OH 43028-9200 | 2015-07-07 |
| 1730436593 | Robert T Douglas | Pharmacist | 335 Se Valley View Way, Chehalis, WA 98532-4304 | 2012-08-11 |
| 1710243167 | Robert Gordon Douglas Jr. | Internal Medicine | 265 Old Black Point Rd, Niantic, CT 06357-3732 | 2012-04-10 |
| 1053574137 | Robert James Douglas | Specialist | 13865 Locust Ln, Nampa, ID 83686-9367 | 2008-07-08 |
| 1861516239 | Robert Dean Douglas | Optometrist | 12412 Stafford St, Ravenna, MI 48451-0307 | 2007-03-19 |
| 1538182399 | Robert M Douglas | Radiology | 400 South 43rd Street, C/o Valley Radiation Oncology, Renton, WA 98055 | 2006-07-25 |
| 1790757417 | Robert N Douglas | Dentist | 424 Route 304, Bardonia, NY 10954-1613 | 2006-02-06 |
| 1104442508 | Robert Derrick Douglas | Specialist/Technologist | 1302 Tom Temple Dr, Lufkin, TX 75904-5581 | 2020-06-22 |
| 1275856510 | Robert Leslie Douglas | Counselor | 10 Fiske Pl, Suite 228, Mount Vernon, NY 10550-3205 | 2010-03-01 |
| 1366532236 | Robert M Douglas | Family Medicine | 5555 E Arapahoe Rd, Centennial, CO 80122-2312 | 2006-10-13 |
| Street Address |
160 S BELLWOOD DR STE B |
| City | EAST ALTON |
| State | IL |
| Zip Code | 62024-2086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407076680 | Eric M Langenwalter | Dentist | 160 S Bellwood Dr Ste B, East Alton, IL 62024-2086 | 2007-04-27 |
| 1487874111 | Tad J Steinhauer | Dentist | 160 S Bellwood Dr Ste B, East Alton, IL 62024-2086 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326395153 | Leah Marie Nanney | Pharmacist | 550 W St Louis Avenue, East Alton, IL 62024 | 2012-08-10 |
| 1861681207 | M-lab Enterprises,ltd. | Chiropractor | 2 Termianl Dr. Ste. 15, East Alton, IL 62024 | 2007-10-22 |
| 1184846628 | Affordable Dentistry Today, PC | Dentist | 50 North Center Street, East Alton, IL 62024 | 2007-05-03 |
| 1386769255 | Sarah Crockett | Occupational Therapy Assistant | 8 Carmelita Drive, East Alton, IL 62024 | 2007-03-20 |
| 1922155886 | Ruth Cohen Kubicek | Social Worker | 9 Junction Drive West, Suite 2, Glen Carbon, IL 62024 | 2007-01-04 |
| 1952356578 | Andrew W Dykeman | Chiropractor | 33 East Airline Drive, East Alton, IL 62024 | 2006-05-23 |
| 1093771883 | Gateway Rehabilitation Company, LLC | Physical Therapist | 935 East Airline Dr, East Alton, IL 62024 | 2006-04-21 |
| 1407914526 | Victoria L Dawdy | Dentist | 2 Terminal Dr, Ste 16, East Alton, IL 62024 | 2006-12-04 |
| 1265795025 | Tania Evans | Counselor | 211 N Shamrock St, East Alton, IL 62024-0016 | 2012-06-18 |
| 1114202280 | Dana Sue Livingston | Pharmacist | 550 W Saint Louis Ave, East Alton, IL 62024-1044 | 2011-10-19 |
| Find all providers in zip 62024 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407076680 | Eric M Langenwalter | Dentist | 160 S Bellwood Dr Ste B, East Alton, IL 62024-2086 | 2007-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039947 | Yale Cho | Dentist | 17w110 22nd St Ste 150, Oakbrook Terrace, IL 60181-4454 | 2020-09-25 |
| 1720622152 | Sandra Altarawneh | Dentist | Uic College of Dentistry, 801 S. Paulina Street, Chicago, IL 60612 | 2019-10-29 |
| 1841848355 | Prime Dental Specialists | Dentist | 2638 Patriot Blvd, Glenview, IL 60026-8024 | 2019-08-28 |
| 1578047882 | Mohammed Salih | Dentist | 4408 W Lawrence Ave Ste 2, Chicago, IL 60630-2511 | 2018-09-21 |
| 1396256350 | Christopher William Coffey | Dentist | 14600 S La Grange Rd Ste 5, Orland Park, IL 60462-2580 | 2017-10-18 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1578985495 | Fransiskus Andrianto Tjiptowidjojo | Dentist | 1901 N Roselle Rd Ste 110, Schaumburg, IL 60195-3179 | 2014-01-11 |
| 1386079689 | Bryan Jacobs | Dentist | 4905 Old Orchard Ctr Ste 728, Skokie, IL 60077-4734 | 2013-09-05 |
| 1790932325 | Samson Sol Flores | Dentist | 1415 Oakton St, Evanston, IL 60202-2720 | 2008-08-26 |
| 1396991196 | Lake Forest Dental Associates, PC | Dentist | 133 E Laurel Ave, Lake Forest, IL 60045-1205 | 2008-08-12 |
| Find all providers with the same taxonomy | ||||
| City | EAST ALTON |
| Zip Code | 62024 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.