Frank Scott Parkway Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FRANK SCOTT PARKWAY FAMILY DENTAL, LLC

Doing business as

Frank Scott Parkway Dental

Practice address

4933 Benchmark Centre Dr Ste a
Swansea, IL 62226-8927

Phone

(618) 643-9523

Fax

(618) 643-9523

NPI assigned

Jul 27, 2018

Last updated

Jul 27, 2018By 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

David Guilbeault, DMD

Title

Owner/Dentist

Phone

(618) 643-9523

Specialties & licenses 1

Addresses

Other names 1

• Frank Scott Parkway Dental Doing business as

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1700363116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 EDWARDSVILLE CLUB PLAZA CT",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253717",
            "telephone_number": "618-643-9523",
            "fax_number": "618-643-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4933 BENCHMARK CENTRE DR STE A",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622268927",
            "telephone_number": "618-643-9523",
            "fax_number": "618-643-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK SCOTT PARKWAY FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "GUILBEAULT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "618-643-9523",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frank Scott Parkway Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Forbeck
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• Kiesha Ford, MA, LPC
• Fortitude Trails Counseling
• Lisa M Fox, LCSW
• Frank Scott Parkway PC
• Ashley Fraser
• Jasmine Fulton, LSW
• Terri Denise Furfaro, DNP,APN,FNP-BC
• Kerry Gallagher, LPC

• 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 Jul 27, 2018; 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.