OrganizationActive
Gateway Dental Group, LLC
NPI 1437601283 · General Practice Dentistry · Troy, IL
Provider details
- NPI number
- 1437601283
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Richard Boatman, Manager(618) 667-8070
- License
- 19-025636 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
606 Edwardsville Road
Troy, IL 62294
Phone: (618) 667-8020
Fax: (618) 667-8078
Approximate (ZIP-level) locationGet directions
Mailing address
606 Edwardsville Road
Troy, IL 62294
Other names (DBA / former)
- Doing business as
- Troy Family Dental
Registry dates
- Enumerated
- 2016-10-27
- Last updated
- 2016-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.