Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Midwest Family Dentistry PC

Organization Dentist · NPI 1558484410

Midwest Family Dentistry PC provides Dentist services in Granite City, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3120 Maryville Rd
Granite City, IL 62040-5119 Not confirmed with CMS for 11 years — call before visiting
Phone: (618) 797-9940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019-023663 (IL)
Customized Equipment (DME) Taxonomy 332BC3200X

Record details

NPI number1558484410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laney Schuman-Boys — President · (618) 797-9940
NPI enumeratedApril 7, 2007
Last updated in NPPESAugust 11, 2015
Mailing address3120 Maryville Rd, Granite City, IL 62040-5119

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