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

Granite City Dental Care Ltd

Organization Dentist · NPI 1750609418

Granite City Dental Care Ltd provides Dentist services in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2102 N Market St
Champaign, IL 61822-1306 Not confirmed with CMS for 16 years — call before visiting
Phone: (618) 877-0780
Fax: (618) 877-8450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.0225511 (IL)

Record details

NPI number1750609418
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGranite City Dental Care
Authorized official La Nae Wood — Office Manager · (217) 351-2650
NPI enumeratedMay 5, 2010
Last updated in NPPESMay 5, 2010
Mailing address2130 Johnson Rd, Granite City, IL 62040-3961

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