OrganizationActive
Collinsville Pediatric Dentistry PLLC
NPI 1295366896 · Pediatric Dentistry · Collinsville, IL
Collinsville Pediatric Dentistry PLLC is a Pediatric Dentistry organization in Collinsville, IL (NPI 1295366896).
Provider details
- NPI number
- 1295366896
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Corey Hastings, Owner/Dentist(618) 346-8000
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
90 Crestmoor St
Collinsville, IL 62234-4951
Phone: (618) 346-8000
Street-level locationGet directions
Mailing address
90 Crestmoor St
Collinsville, IL 62234-4951
Other names (DBA / former)
- Doing business as
- Gateway Little Smiles
Registry dates
- Enumerated
- 2020-02-01
- Last updated
- 2020-02-01
- Certified
- 2020-02-01
Frequently asked questions
- What is Collinsville Pediatric Dentistry PLLC's NPI number?
- Collinsville Pediatric Dentistry PLLC's National Provider Identifier (NPI) is 1295366896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Collinsville Pediatric Dentistry PLLC?
- Collinsville Pediatric Dentistry PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Collinsville Pediatric Dentistry PLLC located?
- Collinsville Pediatric Dentistry PLLC's practice location on file with NPPES is 90 Crestmoor St, Collinsville, IL 62234-4951.
- What is Collinsville Pediatric Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Collinsville Pediatric Dentistry PLLC is (618) 346-8000.
- Who is the authorized official for Collinsville Pediatric Dentistry PLLC?
- The authorized official listed on Collinsville Pediatric Dentistry PLLC's NPPES record is Corey Hastings, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Collinsville Pediatric Dentistry PLLC's NPI active?
- Yes — Collinsville Pediatric Dentistry PLLC's NPI (1295366896) is active in the NPPES registry as of the last update on 2020-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.