DR. DEIDRE CHILDERS (NPI# 1740661859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740661859 |
| Entity Type | Individual |
| Full Name | DR. DEIDRE CHILDERS |
| Credential | DDS |
| Practice Address |
2801 Civic Circle Blvd Ste 7 Marion IL 62959-5276 |
| Mailing Address |
2779 Kokopelli Dr Marion IL 62959-5242 |
| Practice Telephone | 6189989868 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019023024 | IL | Dental Providers |
| Street Address |
2801 CIVIC CIRCLE BLVD STE 7 |
| City | MARION |
| State | IL |
| Zip Code | 62959-5276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| 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 |
|---|---|---|---|---|
| 1740894450 | Sigmund G Gagni Dds LLC | Dentist | 1271 Crescent Heights Rd Ste 206, Marion, OH 43302-6455 | 2020-09-01 |
| 1528545522 | Erica Recker | Dentist | 915 Barrington Pkwy Ste C, Marion, IA 52302-8974 | 2018-07-23 |
| 1740710052 | Ethan Thomas Grounds | Dentist | 1601 E Deyoung St, Marion, IL 62959-5015 | 2017-06-19 |
| 1720352321 | Paul E Peltier IIi | Dentist | 670 Marion Williamsport Rd E, Marion, OH 43302-8683 | 2012-02-28 |
| 1215225974 | Katherine Paige Stuart | Dentist | 937 N Main St, Marion, VA 24354-4117 | 2011-07-15 |
| 1639469968 | Thomas Woods | Dentist | 2702 W Deyoung St, Marion, IL 62959-4950 | 2011-04-07 |
| 1720300973 | Timothy G Chase | Dentist | 1241 E Center St, Marion, OH 43302-4446 | 2010-02-15 |
| 1629206560 | Justin Joseph Gilling | Dentist | 725 W Ramsdell St, Marion, WI 54950-8509 | 2009-06-30 |
| 1497914238 | Michael Colwell | Dentist | 8111 E 300 S, Marion, IN 46953-9523 | 2008-06-06 |
| 1104028844 | Thomas R. Pierce Jr., Dds | Dentist | 329 Block St, Marion, AR 72364-2103 | 2007-06-04 |
| Find all providers in MARION | ||||
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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.