OrganizationActive
Granite City Dental Care Ltd
NPI 1750609418 · Dentist · Champaign, IL
Granite City Dental Care Ltd is a Dentist organization in Champaign, IL (NPI 1750609418).
Provider details
- NPI number
- 1750609418
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Granite City Dental Care
- Organization subpart
- Yes
- Authorized official
- La Nae Wood, Office Manager(217) 351-2650
- License
- 019.0225511 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
2102 N Market St
Champaign, IL 61822-1306
Phone: (618) 877-0780
Fax: (618) 877-8450
Street-level locationGet directions
Mailing address
2130 Johnson Rd
Granite City, IL 62040-3961
Registry dates
- Enumerated
- 2010-05-05
- Last updated
- 2010-05-05
Frequently asked questions
- What is Granite City Dental Care Ltd's NPI number?
- Granite City Dental Care Ltd's National Provider Identifier (NPI) is 1750609418, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Granite City Dental Care Ltd?
- Granite City Dental Care Ltd is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Granite City Dental Care Ltd located?
- Granite City Dental Care Ltd's practice location on file with NPPES is 2102 N Market St, Champaign, IL 61822-1306.
- What is Granite City Dental Care Ltd's phone number?
- The practice phone number listed in the NPPES registry for Granite City Dental Care Ltd is (618) 877-0780.
- Who is the authorized official for Granite City Dental Care Ltd?
- The authorized official listed on Granite City Dental Care Ltd's NPPES record is La Nae Wood, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Granite City Dental Care Ltd's NPI active?
- Yes — Granite City Dental Care Ltd's NPI (1750609418) is active in the NPPES registry as of the last update on 2010-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.