RESTORATION DENTAL LLC- MARSHALL DENTAL PROFESSIONALS (NPI# 1326311630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326311630 |
| Entity Type | Organization |
| Organization Name | RESTORATION DENTAL LLC- MARSHALL DENTAL PROFESSIONALS |
| Other Organization Name | MARSHALL DENTAL PROFESSIONALS |
| Practice Address |
815 N 2nd St Marshall IL 62441-1086 |
| Mailing Address |
903 18th St. Charleston IL 61920 |
| Practice Telephone | 2178265181 |
| Practice Fax Number | 2178262651 |
| Mailing Telephone | 2173487770 |
| Mailing Fax Number | 2173498279 |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2015-10-01 |
| Authorized Official Name | JAMIE VILK (OPERATIONS MANAGER) |
| Authorized Official Telephone | 2173487770 |
| 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 |
|---|---|
| Marshall Dental Professionals | Doing Business As Name - Organization |
| Street Address |
815 N 2ND ST |
| City | MARSHALL |
| State | IL |
| Zip Code | 62441-1086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315806 | Jacob Hoelscher | Pharmacist | 108 Kyden Drive, Marshall, IL 62441 | 2020-10-30 |
| 1023678521 | Human Resources Center of Edgar and Clark Counties | Counselor | 406 North 2nd Street, Marshall, IL 62441 | 2019-06-17 |
| 1760950737 | Hospital & Medical Foundation of Paris, Inc. | Family Medicine | 1602 Il Hwy 1, Marshall, IL 62441 | 2018-11-08 |
| 1679793871 | Anita Yvonne Eirhart | Massage Therapist | 1408 N Michigan Ave, Marshall, IL 62441 | 2007-04-27 |
| 1285851188 | Wellum Chiropractic Center Inc | Chiropractor | 1602 Illinois Hwy 1, Marshall, IL 62441 | 2007-04-20 |
| 1902940513 | Marilyn Sue Patton | Massage Therapist | 121 South 6th Street, Suite B, Marshall, IL 62441 | 2007-02-16 |
| 1760536148 | William Lee King | Chiropractor | 511 Locust Street, Marshall, IL 62441 | 2007-01-22 |
| 1558455964 | Alan D Reed | Pharmacy | 813 N 2nd St, Marshall, IL 62441 | 2006-10-03 |
| 1619981081 | William O Worthington | Physical Therapist | 410 N Second Street, Marshall, IL 62441 | 2006-07-28 |
| 1063012813 | Erica Diane Weber | Pharmacist | 108 Kyden Drive, Marshall, IL 62441 | 2020-10-30 |
| Find all providers in zip 62441 | ||||
| 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 |
|---|---|---|---|---|
| 1477072973 | Marshall Dental Care | Dentist | 4199 Winchester Road, Suite H, Marshall, VA 20115 | 2017-09-15 |
| 1811412620 | Plattner Dental Associates, LLC | Dentist | 2301 S Highway 65 Ste 1, Marshall, MO 65340-3713 | 2017-08-14 |
| 1821520834 | Sanaz Harounpour | Dentist | 1800 Bomar St, Marshall, TX 75670-6728 | 2017-03-29 |
| 1669871158 | Marshall Dental PC | Dentist | 900 East End Blvd., Suite 200, Marshall, TX 75670 | 2014-08-20 |
| 1124466347 | Ibrahim Elgarawany | Dentist | 4199 Winchester Rd, Suite H, Marshall, VA 20115-3269 | 2013-06-10 |
| 1548538416 | John W Frerich | Dentist | 1106 E College Dr, Marshall, MN 56258-1902 | 2011-12-07 |
| 1013225804 | Rainbow Smiles Dental Center LLC | Dentist | 100 Forrest Ter, Marshall, TX 75670-6804 | 2010-09-15 |
| 1235351123 | Paul Vincent Thompson | Dentist | 103 N. Miami St., Marshall, MO 65340 | 2007-05-02 |
| 1093938219 | James Nickolas Love | Dentist | 215 S Washington Ave, Marshall, TX 75670-4155 | 2007-04-10 |
| 1063537769 | Darlene C Hildebrand | Dentist | 414 N 6th St, Marshall, IL 62441-1218 | 2007-03-20 |
| Find all providers in MARSHALL | ||||
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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.