DR. DALLAS LEE PINEDA (NPI# 1417574146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417574146 |
| Entity Type | Individual |
| Full Name | DR. DALLAS LEE PINEDA |
| Credential | DMD |
| Practice Address |
101 United Dr Ste 150 Collinsville IL 62234-7439 |
| Practice Telephone | 6183457676 |
| Practice Fax Number | 6183457603 |
| Mailing Telephone | 6183045988 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4353621 | IL | Dental Providers |
| Street Address |
101 UNITED DR STE 150 |
| City | COLLINSVILLE |
| State | IL |
| Zip Code | 62234-7439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959847 | Katelyn Cecelia Genenbacher | Dentist | 101 United Dr Ste 150, Collinsville, IL 62234-7439 | 2020-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791005 | Kendall Kotter | Pharmacist | 401 Beltline Rd, Collinsville, IL 62234 | 2020-08-18 |
| 1851804207 | Apex Physical Therapy, LLC | Clinic/Center | 1095 Beltine Rd., Ste. 400, Collinsville, IL 62234 | 2017-11-08 |
| 1205361110 | Pc Associates, LLC | Family Medicine | 1095 Beltline Road, Suite 500, Collinsville, IL 62234 | 2017-04-28 |
| 1538405451 | Joan M Polwort | Pharmacist | 801 Braidwood Ct, Collinsville, IL 62234 | 2012-12-20 |
| 1275818080 | Stephen Scott Branding | Pharmacist | 401 Beltline Rd., Collinsville, IL 62234 | 2011-10-13 |
| 1447534417 | Lindsay Eakin | Pharmacist | 401 Beltline, Collinsville, IL 62234 | 2011-10-07 |
| 1700171568 | Patrick Joseph Swierczek | Social Worker | 820 St. Louis Rd Apt#232, Collinsville, IL 62234 | 2011-06-09 |
| 1366670887 | Susan M. Smith Dc LLC | Chiropractor | 226 South Morrison, Collinsville, IL 62234 | 2009-06-23 |
| 1649418492 | Lynette M Patton | Counselor | 415 W Main St Ste 3, Collinsville, IL 62234 | 2009-02-02 |
| 1558506626 | Kimberly Jean Miller | Counselor | Meadow Heights Professional Park, Suite 2b, Collinsvile, IL 62234 | 2008-12-03 |
| Find all providers in zip 62234 | ||||
| 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 |
|---|---|---|---|---|
| 1891176897 | Adam Fritzgerald | Dentist | 473 Parkside Commons Ct, Collinsville, IL 62234-4488 | 2015-06-15 |
| 1114054699 | John William Rhoday | Dentist | 4721 King's Mountain Road, Collinsville, VA 24078 | 2007-02-28 |
| 1558414474 | Michael Eugene Lavinder | Dentist | 4940 Kings Mountain Rd, Collinsville, VA 24078-1826 | 2007-01-22 |
| 1639230964 | Kenneth James Kosten | Dentist | 500 St Louis Rd, Collinsville, IL 62234-2437 | 2006-12-12 |
| 1558435941 | Larry Herbert Rapp | Dentist | 500 Saint Louis Rd, Collinsville, IL 62234-2437 | 2006-11-20 |
| 1659469666 | Daniel J Mcatee | Dentist | 217 W Clay St, Collinsville, IL 62234-3219 | 2006-10-11 |
| 1477640449 | David Parke Maier | Dentist | 1170 Belt Line Rd, Collinsville, IL 62234-4372 | 2006-10-09 |
| 1881792273 | Ross Finley Gale | Dentist | 4248 Virginia Ave, Collinsville, VA 24078-1935 | 2006-09-20 |
| 1710092432 | Gerard Edward-zackary Bogucki | Dentist | 66 Maple Avenue, Collinsville, CT 06019 | 2006-08-20 |
| 1265482046 | Today's Dental Care | Dentist | 2006 Mall St, Bldg. 1, Collinsville, IL 62234-1831 | 2006-05-11 |
| Find all providers in COLLINSVILLE | ||||
| City | COLLINSVILLE |
| Zip Code | 62234 |
Please comment or provide details below to improve the information on DR. DALLAS LEE PINEDA.
| 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.