OrganizationActive
Southern Il Dental Sleep Medicine
NPI 1629407119 · Dentist · Murphysboro, IL
Southern Il Dental Sleep Medicine is a Dentist organization in Murphysboro, IL (NPI 1629407119).
Provider details
- NPI number
- 1629407119
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Michael Durr, Owner(618) 529-2471
- License
- 060.011093 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
864 Koonce Rd
Murphysboro, IL 62966-6048
Phone: (618) 529-2471
Fax: (618) 529-2482
Street-level locationGet directions
Mailing address
864 Koonce Rd
Murphysboro, IL 62966-6048
Registry dates
- Enumerated
- 2013-11-05
- Last updated
- 2013-11-05
Frequently asked questions
- What is Southern Il Dental Sleep Medicine's NPI number?
- Southern Il Dental Sleep Medicine's National Provider Identifier (NPI) is 1629407119, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Il Dental Sleep Medicine?
- Southern Il Dental Sleep Medicine is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Southern Il Dental Sleep Medicine located?
- Southern Il Dental Sleep Medicine's practice location on file with NPPES is 864 Koonce Rd, Murphysboro, IL 62966-6048.
- What is Southern Il Dental Sleep Medicine's phone number?
- The practice phone number listed in the NPPES registry for Southern Il Dental Sleep Medicine is (618) 529-2471.
- Who is the authorized official for Southern Il Dental Sleep Medicine?
- The authorized official listed on Southern Il Dental Sleep Medicine's NPPES record is Michael Durr, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Il Dental Sleep Medicine's NPI active?
- Yes — Southern Il Dental Sleep Medicine's NPI (1629407119) is active in the NPPES registry as of the last update on 2013-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.