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

Midwest Family Dentistry PC

Organization Dentist · NPI 1558484410

Midwest Family Dentistry PC is a Dentist in Granite City, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3120 Maryville Rd
Granite City, IL 62040-5119
Phone: (618) 797-9940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019-023663 (IL)
Customized Equipment (DME) Taxonomy 332BC3200X

Record details

NPI number1558484410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laney Schuman-Boys — President · (618) 797-9940
NPI enumeratedApril 7, 2007
Last updated in NPPESAugust 11, 2015
Mailing address3120 Maryville Rd, Granite City, IL 62040-5119

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