Mattoon Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

019020918 Issued in IL

Legal business name

MATTOON DENTAL PC

Practice address

225 Richmond Ave E
Mattoon, IL 61938

Phone

(217) 235-0434

Fax

(217) 234-3418

NPI assigned

May 16, 2008

Organization subpart

Yes

Parent organization

MATTOON DENTAL PCAs reported in NPPES

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

Authorized official

Name

Dr. Gregory G Yount, DMDNPI 1508199829

Title

Dentist Owner

Phone

(217) 235-0434

Specialties & licenses 1

Addresses

Part of

Mattoon Dental PC

Locations

Practitioners 1

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

• Gregory George Yount, DMD

  • General Practice Dentistry
  • Mattoon, IL
  • NPI 1508199829
  NPD (past) Authorized official

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1124285317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1217",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "61938",
            "telephone_number": "217-235-0434",
            "fax_number": "217-234-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 RICHMOND AVE E",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "61938",
            "telephone_number": "217-235-0434",
            "fax_number": "217-234-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTOON DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATTOON DENTAL PC",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "YOUNT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "217-235-0434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019020918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason D Mathews, APN
• Michelle M Mathews, APN
• Darren Victor Mathias
• Mattoon Chiropractic LLC
• Mattoon Comm Unit School Dist 2
• Mattoon Estates North, LLC
• Mattoon Estates South, LLC
• Mattoon Eye Center S C
• Mattoon Furniture
• Mattoon Healthcare & Rehabilitation Center

• Dentist in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.