Callie Soer, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019035185 Issued in IL

Practice address

200 W Morton Ave
Jacksonville, IL 62650-2812

Phone

(217) 245-6898

NPI assigned

Jun 10, 2024

Last updated

Jun 10, 2024By the provider in NPPES

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1750123899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SUNSET DR",
            "city": "BEARDSTOWN",
            "state": "IL",
            "postal_code": "626181661",
            "telephone_number": "217-491-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MORTON AVE",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626502812",
            "telephone_number": "217-245-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOER",
        "first_name": "CALLIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019035185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Scott Slinkard, COTA/L
• Smalltown Dental Jacksonville PLLC
• Smile Experts Dental Associates
• Julia Anne Speakman, LCSW
• Devin Scott Spears, M.S., A.T.,C.
• Misty Dawn Spencer
• Springfield Clinic Jacksonville Outreach Lab
• Springfield Clinic Jacksonville Prompt Care Lab

• General Practice Dentistry in Jacksonville, IL
• Providers in Jacksonville, 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 Jun 10, 2024; 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.