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

Collinsville Pediatric Dentistry PLLC

Organization Pediatric Dentistry · NPI 1295366896

Collinsville Pediatric Dentistry PLLC is a Pediatric Dentistry in Collinsville, Illinois. Registered with an NPI since 2020.

In the registry since
2020
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

90 Crestmoor St
Collinsville, IL 62234-4951
Phone: (618) 346-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1295366896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corey Hastings — Owner/Dentist · (618) 346-8000
Other names Gateway Little Smiles
NPI enumeratedFebruary 1, 2020
Last updated in NPPESFebruary 1, 2020
Certification dateFebruary 1, 2020
Mailing address90 Crestmoor St, Collinsville, IL 62234-4951

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