Advanced Family Dental & Orthodontics of Carlinville, PC

Primary specialty

DentistTaxonomy code 122300000X

License

019016447 Issued in IL

Legal business name

ADVANCED FAMILY DENTAL & ORTHODONTICS OF CARLINVILLE, PC

Practice address

201 McCausland St
Carlinville, IL 62626-9128

Phone

(217) 854-4059

Fax

(217) 854-9518

NPI assigned

Mar 19, 2015

Organization subpart

Yes

Parent organization

ADVANCED FAMILY DENTAL & ORTHODONTICS OF MT OLIVE, PCAs reported in NPPES

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

Authorized official

Name

Dr. David Rubis, DDS

Title

President

Phone

(217) 854-4059

Specialties & licenses 1

Addresses

Tax ID family

Advanced Family Dental Orthodontics of Mt Olive PC2 organizations share this tax ID, including this one

Part of

Advanced Family Dental Orthodontics of Mt Olive PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Family Dental & Orthodontics of Mt. Olive, P.C.

  • Dentist
  • Mount Olive, IL
  • NPI 1639588833
  NPD tax ID

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1669866455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MCCAUSLAND STREET",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "62626",
            "telephone_number": "217-854-4059",
            "fax_number": "217-854-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MCCAUSLAND ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626269128",
            "telephone_number": "217-854-4059",
            "fax_number": "217-854-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY DENTAL & ORTHODONTICS OF CARLINVILLE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED FAMILY DENTAL & ORTHODONTICS OF MT OLIVE, PC",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "RUBIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-854-4059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019016447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kim C Allison, RN
• Angelly Alvarez Collazo, LPC
• William Anderson, MA LCPC
• Bankhead Alton Orthodontics PC
• Brenda I Beanblossom, MA LCPC

• Dentist in Carlinville, IL
• Providers in Carlinville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.