Steven Connolly, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STEVEN CONNOLLY, DMD, PC

Doing business as

Executive Woods Dental Care, Inc.

Practice address

1 Executive Woods CT
Swansea, IL 62226-2016

Phone

(618) 234-5600

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven M Connolly, D.M.D.NPI 1659420370

Title

President

Phone

(618) 234-5600

Specialties & licenses 2

Addresses

Other names 1

• Executive Woods Dental Care, Inc. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven M Connolly, D.M.D.

  • Dentist
  • Swansea, IL
  • NPI 1659420370
  NPD (past) Authorized official

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467659110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE WOODS CT",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE WOODS CT",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262016",
            "telephone_number": "618-234-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN CONNOLLY, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-234-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Woods Dental Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Clair Orthopedics, SC
• St Clair Orthopedics, SC
• Jason L Stanczyk, D.M.D., M.S.
• Anthony John Stark, LPTA
• Stephanie Henson, MSW, LCSW, LLC
• Stephanie Stock
• Christy Elizabeth Stratman, PHARMD
• James K Stubblefield, DDS
• Sunnii's Soothing Touch
• Carley Sutton

• General Practice Dentistry in Swansea, IL
• Providers in Swansea, 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 22, 2020; 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.