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

Springfield Periodontics LLC

Organization Periodontics · NPI 1649342999

Springfield Periodontics LLC is a Periodontics in Springfield, Illinois. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2025 W Iles Ave
Springfield, IL 62704-4190
Phone: (217) 787-6761
Fax: (217) 787-6611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1649342999
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Davis — Periodontist · (217) 787-6761
NPI enumeratedNovember 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2025 W Iles Ave, Springfield, IL 62704-4190

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