Schreder Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019025128 Issued in IL

Legal business name

SCHREDER FAMILY DENTAL

Practice address

4023 N Illinois St
Swansea, IL 62226-1931

Phone

(618) 722-5300

NPI assigned

Oct 14, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Courtney N Eghigian

Title

Office MGR

Phone

(618) 722-5300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1104254960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 N ILLINOIS ST",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261931",
            "telephone_number": "618-722-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 N ILLINOIS ST",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261931",
            "telephone_number": "618-722-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHREDER FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "EGHIGIAN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "618-722-5300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Santos, M.D.
• Dameckia Sattlefield
• Apeksha Saxena-Reddy
• Alisia M Schmidt, PA-C
• Brianna Maureen Schmitt, AUD.
• Dianne V. Seabaugh, CFNP
• Kamaryn Seabloom
• Paula Elizabeth Semko, DT
• Senderos Psychotherapy Services LLC
• Serenity and Hope Counseling

• General Practice Dentistry in Swansea, IL
• Providers in Swansea, 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 Oct 14, 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.