ETHAN THOMAS GROUNDS DMD NPI 1740710052

NPI Information

NPI: 1740710052
Provider Name: ETHAN THOMAS GROUNDS, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
300 SMALL ST STE D
HARRISBURG, IL
ZIP 62946
Phone: (618) 252-1725
Get Directions

Ethan Thomas Grounds, DMD is a general practice dentist in Harrisburg, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Ethan Thomas Grounds, DMD NPI is 1740710052. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 SMALL ST STE D
HARRISBURG, IL
ZIP 62946-325
Phone: (618) 252-1725

The enumeration date for this NPI number is 6/19/2017 and was last updated on 1/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	019.031182	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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