Robert J McDill, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19A14624 Issued in IL

Practice address

9 Canty LN
Fairview Heights, IL 62208-2623

Phone

(618) 398-5770

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert J McDill D M D LTD

  • Dental Clinic/Center
  • Fairview Heights, IL
  • NPI 1457474637
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528286630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CANTY LANE",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "62208",
            "telephone_number": "618-398-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CANTY LN",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082623",
            "telephone_number": "618-398-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDILL",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19A14624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin Elizabeth Mayberry, PSYD
• Ryan McCafferty, DC
• Dylan C McCormick
• Sabrina McCray
• Marianne Wanda McDaniel, O.D.
• Keywana M McDonald, RN
• Ronnye McInteer, OT
• Corynne McPeters, LSW
• Kayla Faith McSherry
• Medgo, LLC

• General Practice Dentistry in Fairview Heights, IL
• Providers in Fairview Heights, 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 8, 2007; 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.