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NPI 1356947030

OrganizationActive

Advanced Dental Care of Springfield LLP

NPI 1356947030 · General Practice Dentistry · Springfield, IL

Provider details

NPI number: 1356947030
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Authorized official: Matt Vanfdermolen, Manager

Practice location

4701 Wabash Ave

Springfield, IL 62711-9694

Phone: (217) 546-3333

Fax: (217) 546-1110

More IL providers

Mailing address

4701 Wabash Ave

Springfield, IL 62711-9694

Registry dates

Enumerated: 2020-12-08
Last updated: 2020-12-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Advanced Dental Care of Springfield LLP — NPI 1356947030, Springfield, IL | NPI Central