MONTVALE DENTAL CENTER
NPI 1720200074
Dentist - General Practice in Springfield, IL

NPI Status: Active since May 03, 2007

Contact Information

3124 MONTVALE DRIVE
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 546-8777
Fax: (217) 546-9547

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  • Organization
  • Dentist
  • General Practice

About MONTVALE DENTAL CENTER

This page provides the complete NPI Profile along with additional information for Montvale Dental Center, a provider established in Springfield, Illinois operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1720200074 assigned on May 2007. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Montvale Dental Center. The authorized official of this NPI record is Amy Kroeger (Ins Cood)

NPI
1720200074
Provider Legal Name
LIFETIME DENTAL CARE OF ILLINOIS, PC
Other Organization Name
MONTVALE DENTAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3124 MONTVALE DRIVE SPRINGFIELD, IL 62704
Location Phone
(217) 546-8777
Location Fax
(217) 546-9547
Mailing Address
3124 MONTVALE DRIVE SPRINGFIELD, IL 62704
Mailing Phone
(217) 546-8777
Mailing Fax
(217) 546-9547
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2007
Last Update Date
08-22-2020
Code Navigator

A dentist like Montvale Dental Center is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMY KROEGER

Authorized Official Title
INS COOD
Authorized Official Phone
(217) 540-5100

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720200074
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740400014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 4 + 0 + 0 + 0 + 1 + 4 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1720200074 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720200074, enumerated in the NPI registry as an "organization" on May 03, 2007

The provider is located at 3124 Montvale Drive Springfield, Il 62704 and the phone number is (217) 546-8777

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

This NPI record was last updated on May 03, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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