Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1649687286 Deactivated / Inactive NPI Female Practitioner

Dr. Angela C Davis Siterlet , DMD

Dentist • Alton, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Angela Siterlet has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 15, 2014
NPI Deactivation Date September 28, 2021
Total Practice Duration ~7 Years of Practice (2014 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Angela Siterlet, DMD was a registered Dentist practicing in Alton, IL. Throughout an active medical career spanning 7 years, Dr. Siterlet provided care at the practice location at 2800 COLLEGE AVE until profile deactivation on 2021-09-28.

Practice Location & Contact Primary Location

Practice Address

2800 College Ave

Alton, IL 620024742

Telephone 6184747000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Alton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
56 Specialists

Practicing in Alton, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.029827

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013585421
Dr. Lucas Winebaugh , DMD

Dentist - General Practice

NPI 1023677218

Doctor of Dental Medicine

NPI 1033354956

Doctor of Dental Medicine

NPI 1093499246
Dr. Eric Kubacki , DMD

Dentist - General Practice

NPI 1114702743

Doctor of Dental Medicine

NPI 1144591215

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 28, 2021

Record deactivated on September 28, 2021

NPI Profile Active July 15, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 15, 2014

Registered at 2800 COLLEGE AVE, ALTON, IL 620024742 (Tel: 6184747000)

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Updated Business Mailing Address July 15, 2014

Registered at 2800 COLLEGE AVE, ALTON, IL 620024742 (Tel: 6184747000)

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Provider Name / Credentials Updated July 15, 2014

Recorded as ANGELA SITERLET, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2014

Dentist (License #019.029827 in IL)

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Initial NPI Registration & Enumeration July 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649687286
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2014
Last Update: July 15, 2014
Deactivation Date: September 28, 2021

Mailing Address

2800 College Ave

Alton, IL 620024742

Phone: 6184747000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.