Active NPI
Matthew Turner, D.D.S
- Military Health Care Provider
- Great Lakes, IL
National Provider Identifier
1154702140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 16591
- Practice address
- 2470 Sampson St.
Fisher Dental Clinic
Great Lakes, IL 60088 - Phone
- (847) 688-2469
- NPI assigned
- Jun 15, 2015
- Last updated
- Jul 14, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16591 | MD | |
| Prosthodontics | 1223P0700X | 16591 | MD | |
| Military Health Care Provider | 171000000X | 16591 | MD | Primary |
Addresses
Primary practice location
2470 Sampson St.
Fisher Dental Clinic
Great Lakes, IL 60088
Mailing address
1107 Highland St
Columbus, OH 43201-3277
Phone (716) 604-6815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.024646 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1154702140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 HIGHLAND ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432013277",
"telephone_number": "716-604-6815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 SAMPSON ST.",
"address_2": "FISHER DENTAL CLINIC",
"city": "GREAT LAKES",
"state": "IL",
"postal_code": "60088",
"telephone_number": "847-688-2469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-15",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "16591",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MD",
"license": "16591",
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "MD",
"license": "16591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Lakes, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.