Wohlford-Schuette Dental, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

019028314 Issued in IL

Legal business name

WOHLFORD-SCHUETTE DENTAL, LLC

Doing business as

Southern Illinois Pediatric Dentistry

Practice address

1320 Columbia Ctr
Columbia, IL 62236-2561

Phone

(618) 719-2400

NPI assigned

Nov 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Christine Anne Wohlford, DMD, MSNPI 1609037316

Title

Owner/Member

Phone

(618) 791-2794

Specialties & licenses 1

Addresses

Other names 1

• Southern Illinois Pediatric Dentistry Doing business as

Practitioners 1

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

• Christine Anne Wohlford, D.M.D

  • Pediatric Dentistry
  • Columbia, IL
  • NPI 1609037316
  NPD (past) Authorized official

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

{
    "created_epoch": "1448582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448582400000",
    "number": "1821462052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 COLUMBIA CTR",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362561",
            "telephone_number": "618-719-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 COLUMBIA CTR",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362561",
            "telephone_number": "618-719-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOHLFORD-SCHUETTE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-27",
        "last_updated": "2015-11-27",
        "status": "A",
        "authorized_official_last_name": "WOHLFORD",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "618-791-2794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019028314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Illinois Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haley Williams
• Julie Williams
• Kimberly Faye Williams, DC
• Sarah Williams, DPT
• Sierra N Wittenauer, DPT
• Christine Anne Wohlford, D.M.D
• Kelly Ann Wood, M.D.
• Carol Ann Worthington, LCSW
• Trisha Marie Young, D.M.D.
• Zounds Hearing

• Pediatric Dentistry in Columbia, IL
• Providers in Columbia, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2015; 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.