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

Premier Dental of Mt Vernon PC

Organization Dentist · NPI 1932479235

Premier Dental of Mt Vernon PC provides Dentist services in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
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

9 Cusumano Professional Plaza Dr
Mount Vernon, IL 62864-6736 Not confirmed with CMS for 14 years — call before visiting
Phone: (618) 315-6213
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019028108 (IL)

Record details

NPI number1932479235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carla Geha — President/Dentist · (618) 315-6213
NPI enumeratedJanuary 4, 2012
Last updated in NPPESJanuary 4, 2012
Mailing addressPo Box 1003, Mount Vernon, IL 62864-0021

Other providers in Mount Vernon