Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396815932 Individual Practitioner Male Practitioner

Stephen C Anderson , DD, S

Dentist - General Practice • Granite City, IL

Professional Overview & Biography Verified Profile Summary

Stephen Anderson, DD, S is a registered healthcare professional specializing in Dentist - General Practice in Granite City, IL. Practice services are available at 2133 PONTOON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2133 Pontoon Rd

Granite City, IL 620404015

Telephone 6189312400
Associated Practice Facility / Clinic
🏢 Bill F. Mcmasters Dds Ltd Facility NPI 1770753261

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Granite City, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Granite City, IL (5581 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1001069 (IL)
Medicaid State Provider ID
104139 (IL)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1295813517

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 2133 PONTOON RD, GRANITE CITY, IL 620404015 (Tel: 6189312400)

📍
Updated Business Mailing Address July 09, 2007

Registered at 2133 PONTOON RD, GRANITE CITY, IL 620404015 (Tel: 6189312400)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as STEPHEN ANDERSON, D.D,S,

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist

🟢
Initial NPI Registration & Enumeration November 09, 2006

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: 1396815932
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

2133 Pontoon Rd

Granite City, IL 620404015

Phone: 6189312400

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.