GATEWAY DENTAL GROUP, LLC


Address: 606 Edwardsville Road, Troy, IL 62294
Phone: 6186678020

GATEWAY DENTAL GROUP, LLC (NPI# 1437601283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437601283
Entity Type Organization
Organization Name GATEWAY DENTAL GROUP, LLC
Other Organization Name TROY FAMILY DENTAL
Practice Address 606 Edwardsville Road
Troy
IL 62294
Practice Telephone 6186678020
Practice Fax Number 6186678078
Mailing Telephone 6186678020
Mailing Fax Number 6186678078
Enumeration Date 2016-10-27
Last Update Date 2016-10-27
Authorized Official Name DR. RICHARD R BOATMAN JR. (MANAGER)
Authorized Official Telephone 6186678070
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223G0001X Dentist
Specialization: General Practice
19-025636 IL Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
19-020938 IL Dental Providers

Other Provider/Organization Names

Other Name Type Code
Troy Family Dental Doing Business As Name - Organization

Office Location

Street Address 606 EDWARDSVILLE ROAD
City TROY
State IL
Zip Code 62294

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194056093 Carol Ann Slazinik Nurse Anesthetist, Certified Registered 8634 Blackjack Hollow Ln, Troy, IL 62294 2010-01-18
1083786248 Andrea B. Shaw, Lcsw Social Worker 552 Edwardsville Road, Troy, IL 62294 2006-11-14
1457456923 Kurt Dick James Dentist 550 Edwardsville Rd, Troy, IL 62294 2006-09-13
1992713846 Rhonda Beth Hanser Dentist 334 Bargraves Blvd, Troy, IL 62294 2006-08-04
1487692430 Deborah Lea Fowler Dixon Bross Family Medicine 301 Edwardsville Road, Troy, IL 62294 2006-06-03
1225081052 Patricia Ellen Miller Pharmacist 101 E Market, Troy, IL 62294 2006-05-19
1174576441 Michael G Csaszar Dentist 7656 Plummer Business Drive, Troy, IL 62294 2006-05-18
1710946280 Rodney L Lupardus Family Medicine 108 West Us Highway 40, Troy, IL 62294 2006-03-22
1992080774 Larrah Lenn Duckworth Pharmacist 640 Edwardsville Rd, Troy, IL 62294 2011-10-12
1548329824 Gary D Steinmann Physician Assistant 108 West Us Highway 40, Troy, IL 62294 2006-12-06
Find all providers in zip 62294

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952924508 Elizabeth Ann Francis Dentist 1930 Prime Ct Ste 101, Troy, OH 45373-8899 2020-05-18
1720621659 Ao of Troy Pllc Dentist 363 W Big Beaver Rd Ste 225, Troy, MI 48084-5242 2019-10-23
1114481678 Brown Dental Associates Pllc Dentist 2025 W Long Lake Rd Ste 110, Troy, MI 48098-4100 2019-01-29
1275008633 Yan Liang Dentist 1355 Peachtree Dr, Troy, MI 48083-5345 2018-10-11
1629591441 Dina Gianchandani Dentist 500 Federal St Ste 300, Troy, NY 12180-2832 2017-07-24
1467999664 Shirin Fakhri D.d.s. P.C. Dentist 2885 E Long Lake Rd, Troy, MI 48085-4100 2017-01-25
1154720191 Judith A. Purcell Dentist 721 Hoosick Road, Troy, NY 12180 2014-08-15
1194133439 Krupa Patel Dentist 3970 Stone Haven Dr, Troy, MI 48084-1510 2014-07-30
1063713246 Troy Family Dentistry, LLC Dentist 128 Professional Parkway, Troy, MO 63379 2010-11-04
1841523040 Michael Alan Feinstein Dentist 21 Robin Hood Lane, Suite 4, Troy, OH 45373 2009-09-08
Find all providers in TROY

Competitor

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City TROY
Zip Code 62294

Improve Information

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Dataset Information

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.

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