Periodontics of Southern Illinois
NPI 1639224876 · Periodontics · Belleville, IL
Periodontics of Southern Illinois is a Periodontics organization in Belleville, IL (NPI 1639224876).
Provider details
- NPI number
- 1639224876
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Josepj Renner, Owner(618) 233-7300
Specialties & taxonomies
Dental Providers
- Periodontics1223P0300X
Dental Providers
- Periodontics1223P0300X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2020-08-22
Frequently asked questions
- What is Periodontics of Southern Illinois's NPI number?
- Periodontics of Southern Illinois's National Provider Identifier (NPI) is 1639224876, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontics of Southern Illinois?
- Periodontics of Southern Illinois is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontics of Southern Illinois located?
- Periodontics of Southern Illinois's practice location on file with NPPES is #11 Park Place, Belleville, IL 62226-2925.
- What is Periodontics of Southern Illinois's phone number?
- The practice phone number listed in the NPPES registry for Periodontics of Southern Illinois is (618) 233-7300.
- Who is the authorized official for Periodontics of Southern Illinois?
- The authorized official listed on Periodontics of Southern Illinois's NPPES record is Josepj Renner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontics of Southern Illinois's NPI active?
- Yes — Periodontics of Southern Illinois's NPI (1639224876) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.