Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Maryville Family Dental

Dentist in Maryville, IL · enumerated 2009 · authorized official Amanda Henderson, Accounts Payable.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639405731

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Registry record

Entity type Organization (Type 2)

Legal business name Maryville Family Dental

Practice address 2921 North Center Street, Suite 8-9, Maryville, IL, 62062

Phone (618) 288-7804

Fax (618) 288-7918

Enumeration date Oct 23, 2009

Last updated in NPPES Oct 8, 2012

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Amanda Henderson

Title Accounts Payable

Phone (618) 288-6201

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-10-08. Verify at npiregistry.cms.hhs.gov.

Where is Maryville Family Dental located?

The practice location on file with NPPES is in Maryville, IL.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-08.