Shiloh Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHILOH DENTAL GROUP LLC

Practice address

301 Tamarack LN
Shiloh, IL 62269-2993

Phone

(618) 643-9523

NPI assigned

Sep 25, 2015

Last updated

Jan 22, 2016By 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

Locations

Practitioners 1

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.

• Robert Hails, DMD

  • Dentist
  • Aurora, CO
  • NPI 1417565748

  General Practice

  NPD (past)

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1316317977",
    "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": "301 TAMARACK LN",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622692993",
            "telephone_number": "618-643-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2016-01-22",
        "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": []
}

• Khaola Shalabi, LCPC
• Tasha Shannon, LCPC
• Tanya Sharma, M.B.B.S.
• Shiloh Birth & Baby LLC
• Shiloh Chiropractic, LLC
• Alex Nicole Shockey, HIS
• Luck Sinasa
• Polly Bhattacharyya Sinha, P.T.
• Swastik Kumar Sinha, M.D.
• Matthew R Smith, DO

• General Practice Dentistry in Shiloh, IL
• Providers in Shiloh, 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 Jan 22, 2016; 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.