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

Premier Dental of Mt Vernon PC

Organization Dentist · NPI 1932479235

Premier Dental of Mt Vernon PC is a Dentist in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
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

9 Cusumano Professional Plaza Dr
Mount Vernon, IL 62864-6736
Phone: (618) 315-6213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019028108 (IL)

Record details

NPI number1932479235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carla Geha — President/Dentist · (618) 315-6213
NPI enumeratedJanuary 4, 2012
Last updated in NPPESJanuary 4, 2012
Mailing addressPo Box 1003, Mount Vernon, IL 62864-0021

Other providers in Mount Vernon