Yeongcheol Won, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019035192 Issued in IL

Practice address

87 Magnolia Dr
Glen Carbon, IL 62034-1535

Phone

(618) 692-9980

NPI assigned

Jun 18, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Professionals of Illinois, P.C.

  • General Practice Dentistry
  • Glen Carbon, IL
  • NPI 1093937336
  NPD
• Missouri Dental Professionals, Richard Straus, DMD, PC

  • General Practice Dentistry
  • Columbia, MO
  • NPI 1558669556
  NPD (past)

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1083457709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 VALLEY DR",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620241318",
            "telephone_number": "920-419-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MAGNOLIA DR",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341535",
            "telephone_number": "618-692-9980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13035 Olive Blvd Ste 214",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631416179",
            "country_code": "US",
            "telephone_number": "314-668-8668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WON",
        "first_name": "YEONGCHEOL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2024021020",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019035192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Wilson, DHS
• Claudia Windom
• Shelby Winn
• Zachary Sean Wittmann, L.C.P.C.
• Todd Robert Wollbrinck, O.D.
• Myah Jae Woodard
• Eva Rose Woodfall, RBT
• Mary Margaret Worster
• Woven Words Therapy PLLC
• Brett Wright

• Dentist in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.