Village Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VILLAGE FAMILY DENTAL, LLC

Doing business as

Village Family Dental, LLC

Practice address

3949 Il-111
Granite City, IL 60240

Phone

(618) 797-1515

NPI assigned

Jul 24, 2024

Organization subpart

No

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

Authorized official

Name

Jonathan Sones, DMD

Title

Owner/Dentist

Phone

(618) 797-1515

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Village Family Dental, LLC Doing business as

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1427886183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 IL-111",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "60240",
            "telephone_number": "618-797-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 IL-111",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "60240",
            "telephone_number": "618-797-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "SONES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "618-797-1515",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639499791",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134961758",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588344824",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Family Dental, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Village Family Dental, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip S Valicoff, DMD
• Ilde Boy Tan Velasco, PT, DPT
• Michelle Renee Verbeke, RN
• Jeremie J Veto, PHARM D.
• Tanya Vietmeier, PTA
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• Gustavo Vonderlancken, MD
• Corey Voss, PT
• Walgreen Co (Walgreens #04407)
• Walgreen Co (Walgreens #04971)

• General Practice Dentistry in Granite City, IL
• Providers in Granite City, 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 Aug 20, 2024; 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.