Deer Run Dental, PC – General Practice Dentistry

Key facts

NPI: 1780316596
Entity type: Organization (NPI type 2)
Primary specialty: General Practice Dentistry 1223G0001X
Legal business name: DEER RUN DENTAL, PC
Practice address: 717 Insight Ave
Suite 200
O'Fallon, IL 62269
Phone: (618) 277-6550
Fax: (618) 800-2906
NPI assigned: Jun 29, 2022
Organization subpart: No

Authorized official

Name: Dr. Alex J Schillinger, DMD NPI 1629185814
Title: Owner
Phone: (618) 698-1871

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Alex Joseph Schillinger, DMD Dentist · O'Fallon, IL · NPI 1629185814

NPD Authorized official GENERAL PRACTICE

National Provider Directory

Locations

717 Insight Ave
Ste 200
O Fallon, IL 62269
Phone (618) 277-6550

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry Group: 193400000X SINGLE SPECIALTY GROUP	1223G0001X			Yes

Addresses

Primary practice location

717 Insight Ave
Suite 200
O'Fallon, IL 62269

Mailing address

717 Insight Ave
Suite 200
O'Fallon, IL 62269
Phone (618) 277-6550

Other names

Innovation Dental Doing business as

Other providers in O'Fallon, IL

All providers in O'Fallon, IL · General Practice Dentistry in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.