OrganizationActive
Market Street Family Dentist, PC
NPI 1770122194 · Dental Clinic/Center · Troy, IL
Market Street Family Dentist, PC is a Dental Clinic/Center organization in Troy, IL (NPI 1770122194).
Provider details
- NPI number
- 1770122194
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Beau Moody, President(618) 667-6101
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
212 E Market St
Troy, IL 62294-1512
Phone: (618) 667-6101
Street-level locationGet directions
Mailing address
212 E Market St
Troy, IL 62294-1512
Registry dates
- Enumerated
- 2020-01-02
- Last updated
- 2023-07-24
- Certified
- 2023-07-19
Frequently asked questions
- What is Market Street Family Dentist, PC's NPI number?
- Market Street Family Dentist, PC's National Provider Identifier (NPI) is 1770122194, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Market Street Family Dentist, PC?
- Market Street Family Dentist, PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Market Street Family Dentist, PC located?
- Market Street Family Dentist, PC's practice location on file with NPPES is 212 E Market St, Troy, IL 62294-1512.
- What is Market Street Family Dentist, PC's phone number?
- The practice phone number listed in the NPPES registry for Market Street Family Dentist, PC is (618) 667-6101.
- Who is the authorized official for Market Street Family Dentist, PC?
- The authorized official listed on Market Street Family Dentist, PC's NPPES record is Beau Moody, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Market Street Family Dentist, PC's NPI active?
- Yes — Market Street Family Dentist, PC's NPI (1770122194) is active in the NPPES registry as of the last update on 2023-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.