Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cedar Creek Dental PLLC

Organization General Practice Dentistry · NPI 1063132926

Cedar Creek Dental PLLC is a General Practice Dentistry in Highland, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

380 Suppiger Way # A
Highland, IL 62249-1103
Phone: (618) 654-4551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1063132926
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jared Crutcher — Dentist · (618) 654-4551
NPI enumeratedAugust 31, 2022
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022
Mailing address380 Suppiger Way # A, Highland, IL 62249-1103

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