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Dental Professionals of Illinois, P.C. — NPI 1629471016, Beardstown, IL | NPI Central

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NPI 1629471016

OrganizationActive

Dental Professionals of Illinois, P.C.

NPI 1629471016 · General Practice Dentistry · Beardstown, IL

Provider details

NPI number: 1629471016
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Parent organization: Dental Professionals of Illinois, P.C.
Organization subpart: Yes
Authorized official: Kim Wilson, Cred Supervisor(217) 540-5170

Specialties & taxonomies

General Practice DentistryPrimary1223G0001X
Dental Providers

Practice location

507 Washington St

Beardstown, IL 62618-1558

Phone: (217) 232-2701

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

507 Washington St

Beardstown, IL 62618-1558

Other names (DBA / former)

Doing business as: Beardstown Family Dental

Registry dates

Enumerated: 2014-09-30
Last updated: 2014-09-30

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