Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Coal City Dental Center

Organization General Practice Dentistry · NPI 1356604672

Coal City Dental Center provides General Practice Dentistry in Coal City, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

645 E Division St
Coal City, IL 60416-1679 Not confirmed with CMS for 14 years — call before visiting
Phone: (815) 634-4999
Fax: (815) 634-0014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019020745 (IL)

Record details

NPI number1356604672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Trevison — Dentist · (815) 634-4999
NPI enumeratedJune 21, 2012
Last updated in NPPESJune 21, 2012
Mailing address645 E Division St, Coal City, IL 60416-1679

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