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

Granite City Dental Care Ltd

Organization Dentist · NPI 1750609418

Granite City Dental Care Ltd is a Dentist in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2102 N Market St
Champaign, IL 61822-1306
Phone: (618) 877-0780
Fax: (618) 877-8450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.0225511 (IL)

Record details

NPI number1750609418
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGranite City Dental Care
Authorized official La Nae Wood — Office Manager · (217) 351-2650
NPI enumeratedMay 5, 2010
Last updated in NPPESMay 5, 2010
Mailing address2130 Johnson Rd, Granite City, IL 62040-3961

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