Sylvester Family Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

019-028431 Issued in IL

Legal business name

SYLVESTER FAMILY DENTAL, LLC

Practice address

2708 E Lincoln St
Bloomington, IL 61704-6010

Phone

(309) 662-2833

Fax

(309) 662-7862

NPI assigned

Nov 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Colton W. Sylvester, D.M.DNPI 1699089003

Title

Owner

Phone

(309) 662-2833

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Colton Wayne Sylvester, D.M.D

  • Dentist
  • Bloomington, IL
  • NPI 1699089003
  NPD (past) Authorized official
• Robert David Horenkamp, DDS

  • Dentist
  • Bloomington, IL
  • NPI 1639275308
  NPD (past)
• John Edward Zimdars, D.D.S.

  • Dentist
  • Bloomington, IL
  • NPI 1902999295
  NPD (past)

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1699105155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 E LINCOLN ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046010",
            "telephone_number": "309-662-2833",
            "fax_number": "309-662-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 E LINCOLN ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046010",
            "telephone_number": "309-662-2833",
            "fax_number": "309-662-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVESTER FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "SYLVESTER",
        "authorized_official_first_name": "COLTON",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-662-2833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-028431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Sweas
• Crystal L Sweeney, APN, NP-C
• Karen M Swineford
• Sydni Neal Counseling, PLLC
• Natasha Rose Syed
• Colton Wayne Sylvester, D.M.D
• Karen Szypura
• Zoey Marie Tackett
• Benjamin Taimoorazy, MD
• Tallis Optometry, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.