Plaza Dental Care,LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PLAZA DENTAL CARE,LLC

Practice address

1001 Broadway
Highland, IL 62249-1901

Phone

(618) 654-7461

Fax

(618) 654-8032

NPI assigned

Apr 20, 2007

Last updated

Aug 22, 2020By 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

Robert Hellige, DDSNPI 1710104534

Title

Partner

Phone

(618) 654-7461

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert John Hellige, DDS

  • General Practice Dentistry
  • Highland, IL
  • NPI 1710104534
  NPD (past) Authorized official
• Roy Hunter Reinarman, DMD

  • General Practice Dentistry
  • Highland, IL
  • NPI 1497972210
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689891418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BROADWAY",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491901",
            "telephone_number": "618-654-7461",
            "fax_number": "618-654-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BROADWAY",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491901",
            "telephone_number": "618-654-7461",
            "fax_number": "618-654-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA DENTAL CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HELLIGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "618-654-7461",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Pfeffer, MS CCC-SLP
• Bradley R Pfitzner, OT
• Pinwheel Early Intervention
• Alison Place, DT
• Emily Renee Place, DPT
• Amy M Powell, LCSW
• Barbara F. Randant, M.S. CCC-A
• Shelia Ransom Jenkins
• Karita Ratcliff, DT
• Amanda Raynor, M.S. CCC-A

• General Practice Dentistry in Highland, IL
• Providers in Highland, 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.