Gallatin County Dental Clinic

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GALLATIN COUNTY DENTAL CLINIC

Practice address

5135 Highway 13
Junction, IL 62954

Phone

(618) 272-7630

Fax

(618) 272-7625

NPI assigned

May 6, 2008

Last updated

May 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stacia Irene McGuire, MSW

Title

Administrator

Phone

(618) 727-4300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1932375359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 HIGHWAY 13",
            "city": "JUNCTION",
            "state": "IL",
            "postal_code": "62954",
            "telephone_number": "618-272-7630",
            "fax_number": "618-272-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 HIGHWAY 13",
            "city": "JUNCTION",
            "state": "IL",
            "postal_code": "62954",
            "telephone_number": "618-272-7630",
            "fax_number": "618-272-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLATIN COUNTY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "STACIA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-727-4300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gallatin C U School District 7
• Gallatin Cty School Health Ctr NFP
• Tom Pearce Martin, M.D.

• Dentist in Junction, IL
• Providers in Junction, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.