Green Mount Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GREEN MOUNT DENTAL, LLC

Doing business as

Parkway Smile Center

Practice address

2810 Frank Scott Pkwy W Ste 800
Belleville, IL 62223-5007

Phone

(618) 235-9696

NPI assigned

Aug 17, 2015

Last updated

Jul 21, 2022By the provider in NPPES

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/Dentist

Phone

(618) 643-9523

Specialties & licenses 1

Addresses

Other names 1

• Parkway Smile Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Ellen Heilig, DMD

  • General Practice Dentistry
  • Belleville, IL
  • NPI 1225166374
  NPD (past)
• Eric Jon Schlechte, DMD

  • General Practice Dentistry
  • Belleville, IL
  • NPI 1992896914
  NPD (past)

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306212170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 EDWARDSVILLE CLUB PLAZA CT",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253717",
            "telephone_number": "618-643-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 FRANK SCOTT PKWY W STE 800",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235007",
            "telephone_number": "618-235-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNT DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GUILBEAULT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "618-643-9523"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Gordon, MS CCC SLP
• Joyce Ann Goscinski, PT
• Grace Women's Healthcare
• Kimberly Grana, NP
• Elizabeth Grapperhaus
• Christine Yvette Green
• Kenneth O Green, M.D,
• Toni Green, PTA
• Greenhouse Psychotherapy LLC
• Gregory J Simmons Orthopedic Surgery LLC

• General Practice Dentistry in Belleville, IL
• Providers in Belleville, 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 Jul 21, 2022; 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.