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Active NPI 1912073768 Organization (Entity Type 2)

Kevin E Collins Dds Pc

Dentist • Lagrange, IL

About Kevin E Collins Dds Pc NPI 1912073768 Summary

Kevin E Collins Dds Pc is a verified healthcare organization specializing in Dentist operating in Lagrange, IL. Located at 475 W 55TH STREET, SUITE 204, this facility provides patient care and medical services under National Provider Identifier (NPI) 1912073768.

Administrative operations and authorized compliance are overseen by Kevin Collins (President).

Facility Location & Contact Primary Location

Facility Address

475 W 55th Street
Suite 204

Lagrange, IL 605253566

Telephone 7083545575
Fax 7083545504

Authorized Official Information

Authorized Contact Name

DR. Kevin Collins , DDS

Title / Role

President

Official Telephone

7083545575

Facility Classifications & Specialties

Dentist Primary Taxonomy

NUCC Taxonomy Code: 122300000X

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.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 475 W 55TH STREET, SUITE 204, LAGRANGE, IL 605253566 (Tel: 7083545575)

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Updated Business Mailing Address July 08, 2007

Registered at 475 W 55TH STREET, SUITE 204, LAGRANGE, IL 605253566 (Tel: 7083545575)

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Organization / Clinic Name Updated July 08, 2007

Operating as KEVIN E COLLINS DDS PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #1914819 in IL)

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Initial NPI Registration & Enumeration November 24, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1912073768
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: November 24, 2006
Last Update: August 22, 2020

Mailing Address

475 W 55th Street, Suite 204

Lagrange, IL 605253566

Phone: 7083545575

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.