Carrollton Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CARROLLTON FAMILY DENTAL

Practice address

603 5TH St
Carrollton, IL 62016-1401

Phone

(217) 942-5033

Fax

(217) 942-9503

NPI assigned

Apr 8, 2024

Last updated

Apr 8, 2024By 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. Stacy Sue Cox

Title

Office Manager

Phone

(618) 520-0127

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Skylar Richard Cox, DMD

  • General Practice Dentistry
  • Carrollton, IL
  • NPI 1467131516
  NPD

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1952154288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 5TH ST",
            "city": "CARROLLTON",
            "state": "IL",
            "postal_code": "620161401",
            "telephone_number": "217-942-5033",
            "fax_number": "217-942-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 5TH ST",
            "city": "CARROLLTON",
            "state": "IL",
            "postal_code": "620161401",
            "telephone_number": "217-942-5033",
            "fax_number": "217-942-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-520-0127",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Leigh Baalman, D.P.T.
• Alexander Beavers, DMD
• R Scott Beavers, DDS
• Kyndal Brown
• Carrollton Cu School Dist 1
• Ellen Caroline Christensen, AUD
• County of Greene (Greene County Health Department)
• County of Greene (Greene County Health Department)
• Skylar Richard Cox, DMD
• Cypress Therapy and Rehabilitation, LLC

• Dental Clinic/Center in Carrollton, IL
• Providers in Carrollton, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.