Bellwood Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

019028342 Issued in IL

Legal business name

BELLWOOD FAMILY DENTAL

Practice address

160 S Bellwood Dr Ste a
East Alton, IL 62024-2086

Phone

(618) 258-0239

Fax

(618) 258-0765

NPI assigned

May 16, 2018

Organization subpart

No

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

Authorized official

Name

Jonathan Sones

Title

Owner

Phone

(618) 656-0608

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 3

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

• Paige Hope Bowman

  • Dentist
  • Glen Carbon, IL
  • NPI 1982221313
  NPD (past)
• Euodias M Hunter, DMD

  • Dentist
  • East Alton, IL
  • NPI 1306576996
  NPD (past)
• Gregory L Wigton, D.D.S.

  • General Practice Dentistry
  • East Alton, IL
  • NPI 1588658520
  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1922598788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S BELLWOOD DR STE A",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242086",
            "telephone_number": "618-258-0239",
            "fax_number": "618-258-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S BELLWOOD DR STE A",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242086",
            "telephone_number": "618-258-0239",
            "fax_number": "618-258-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLWOOD FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "SONES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-656-0608"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "16394997991",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982221313",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134961758",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306576996",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588344824",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881262434",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Affiance Home Health Services, LLC
• Affordable Dentistry Today, PC
• Airline Care Clinic PLLC
• Toni Renee Ashley
• Bellwood Family Dentistry
• Nicole Andrea Bennett, PMHNP-BC
• Bridge of Hope Counseling Services PC
• Sydney Burk, OTR/L
• Katherine Burton, RN

• Dentist in East Alton, IL
• Providers in East Alton, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.