Teutopolis Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TEUTOPOLIS FAMILY DENTAL LLC

Practice address

206 N Pearl St
Teutopolis, IL 62467-1134

Phone

(217) 857-3201

NPI assigned

Aug 27, 2019

Last updated

Mar 4, 2021By 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

Blake Westra, DMD

Title

Owner

Phone

(217) 463-4110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1316595101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 E JASPER ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N PEARL ST",
            "city": "TEUTOPOLIS",
            "state": "IL",
            "postal_code": "624671134",
            "telephone_number": "217-857-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEUTOPOLIS FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "WESTRA",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-463-4110",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sigma Innovation Group PLLC (Heal at Home)
• Vicky Simmons
• Springfield Clinic LLP
• Kasey Lynn Sudkamp, DPT
• Teutopolis Comm Unit School District 50
• Lisa Jane Uthell, SLP
• Keri L Will, OT/L

• General Practice Dentistry in Teutopolis, IL
• Providers in Teutopolis, 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 Mar 4, 2021; 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.