GREEN MOUNT DENTAL, LLC (NPI# 1306212170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306212170 |
| Entity Type | Organization |
| Organization Name | GREEN MOUNT DENTAL, LLC |
| Other Organization Name | PARKWAY SMILE CENTER |
| Practice Address |
2810 Frank Scott Pkwy W Ste 800 Belleville IL 62223-5007 |
| Mailing Address |
1922 Edwardsville Club Plaza Ct Edwardsville IL 62025-3717 |
| Practice Telephone | 6182359696 |
| Mailing Telephone | (618) 643-9523 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2017-08-08 |
| Authorized Official Name | DAVID GUILBEAULT (OWNER/DENTIST) |
| Authorized Official Telephone | 6186439523 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Parkway Smile Center | Doing Business As Name - Organization |
| Street Address |
2810 FRANK SCOTT PKWY W STE 800 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62223-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699211268 | Vip Home Health Services, LLC | Home Health | 9454 West Main Street Suite B, Belleville, IL 62223 | 2017-01-06 |
| 1659746063 | Carmel Brown | Counselor | 6400 West Main Suite 3f, Suite 3f, Belleville, IL 62223 | 2015-12-10 |
| 1558743138 | Patrick Nakashima-moran | Family Medicine | 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 | 2015-06-19 |
| 1982039921 | Megan Nicole Kirk | Counselor | 8601 W Main St Ste 201, Belleville, IL 62223 | 2013-09-10 |
| 1043555758 | Toni Green | Physical Therapy Assistant | 400 S 74th St, Belleville, IL 62223 | 2012-12-06 |
| 1356626949 | Christopher Patrick Gagen | Pharmacist | 5890 North Belt West, Belleville, IL 62223 | 2011-10-15 |
| 1861777690 | Carmicheal LLC | General Practice | 8601 West Main St., Ste. 101, Belleville, IL 62223 | 2011-10-12 |
| 1275824096 | Pc Associates LLC | Family Medicine | 2129 W. Main St., Belleville, IL 62223 | 2011-04-27 |
| 1053616763 | Abdurrahim M Abdulhadi | Anesthesiology | 4500 Mem. Drive, The Memorial Hospital, Belleville, IL 62223 | 2011-01-12 |
| 1801031695 | Jose Jesus Morales | Anesthesiology | 204 Warrensburg Drive, Belleville, IL 62223 | 2008-12-08 |
| Find all providers in zip 62223 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| 1174055743 | Accurate Dental - Denture Inc | Dentist | 781 Sumpter Rd, Belleville, MI 48111-2916 | 2017-04-01 |
| 1316305063 | Lifetime Dental Care of Michigan, PC | Dentist | 6127 Rawsonville Rd, Suite 118, Belleville, MI 48111-2546 | 2016-02-09 |
| 1417221532 | Lincoln Place Dental PC | Dentist | 114 Lincoln Place Ct, Belleville, IL 62221-5884 | 2012-03-07 |
| 1306165303 | Atlantic Family Dentistry LLC | Dentist | 180 Washington Ave Fl 2, Belleville, NJ 07109-2541 | 2010-05-31 |
| 1336352608 | Affordable Dentistry Today, PC | Dentist | 5300 West Main, Belleville, IL 62226 | 2007-05-07 |
| 1427270073 | Affordable Dentistry Today, PC | Dentist | 1801 North Belt West, Suite C, Belleville, IL 62226 | 2007-05-03 |
| 1235353640 | Matt Raymod St. Eve | Dentist | 5700 W Main St, Belleville, IL 62226-4407 | 2007-04-13 |
| 1427170828 | Jerrold Ted Jacob | Dentist | 484 Washington Ave, Belleville, NJ 07109-2688 | 2007-04-04 |
| 1265570436 | Beth Rosenberg | Dentist | 9840 Haggerty Rd, Belleville, MI 48111-3443 | 2007-02-01 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62223 |
Please comment or provide details below to improve the information on GREEN MOUNT DENTAL, LLC.
| 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.