Quincy Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019-027702 Issued in IL

Legal business name

QUINCY DENTAL CENTER

Practice address

332 S 36TH St
Suite 1
Quincy, IL 62301-5808

Phone

(217) 224-0426

Fax

(217) 224-1402

NPI assigned

Sep 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Suzanne Pritts, DMD

Title

Dentist/President

Phone

(217) 224-0426

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1871994723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S 36TH ST",
            "address_2": "SUITE 1",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623015808",
            "telephone_number": "217-224-0426",
            "fax_number": "217-224-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S 36TH ST",
            "address_2": "SUITE 1",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623015808",
            "telephone_number": "217-224-0426",
            "fax_number": "217-224-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINCY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "PRITTS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "217-224-0426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019-027702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Queathem, CCC-SLP
• Dale C. Quimby, D.D.S.
• Quincy Anesthesia Associates
• Quincy Audiology, LLC
• Quincy Clinical Laboratory Services SC
• Quincy Dental Specialists
• Quincy Family Foot Care, PC
• Quincy Healthcare & Senior Living, LLC
• Quincy Oral & Maxillofacial Surgery, P.C.
• Quincy Physicians & Surgeons Clinic, PLCC

• All providers in Quincy, IL
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.