West End Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019025281 Issued in IL

Legal business name

WEST END FAMILY DENTAL

Practice address

24 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502

Phone

(618) 692-1110

NPI assigned

Nov 15, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Guilbeault

Title

Owner

Phone

(618) 692-1110

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Ann Littlefield, DMD

  • Dentist
  • Belleville, IL
  • NPI 1801826532
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1023448891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 W MAIN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233029",
            "telephone_number": "618-397-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GINGER CREEK PKWY",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343502",
            "telephone_number": "618-692-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST END FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "GUILBEAULT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-692-1110"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Nichole Weid, RBT
• Wellnessone of Glen Carbon, LLC
• David T. Wells, PH.D
• Ashley Welmon, MOTR/L, CLC
• Kenneth Wesemann
• Beverly West
• Korynn Westendorf
• Bryson Whalen, M.D.
• Janyya Ebony White
• McKenna Whiteside

• General Practice Dentistry in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.