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Dr. Eric Jeffrey Kubacki , DMD

Dentist - General Practice β€’ Alton, IL

Active NPI 1114702743 Individual Practitioner Male Practitioner
Practice location in NPPES

2800 College Ave
Alton, IL 620024742

Call 6184747000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2800 College Ave

Alton, IL 620024742

Telephone 6184747000
Organization at the Same NPPES Address or Phone
Southern Illinois University Edwardsville School Of Dental Medicine Facility NPI 1215912696

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2025

All general payments: $63.51 across 2 records.

By nature of payment

  • Food and Beverage: $63.51 across 2 records.

Reporting-company totals

  • Southern Implants North America Inc: $63.51 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Alton and Illinois

30 active clinicians are listed under Dentist - General Practice with a practice address in Alton, IL (5,281 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Alton

0% of these 30 clinicians have the CMS telehealth indicator.

0% of these 30 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $63.51.

Manufacturer Payment Nature Product Type Amount ($)
Southern Implants North America Inc
Food and Beverage
Cash or cash equivalent
β€” General $45.57
Southern Implants North America Inc
Food and Beverage
Cash or cash equivalent
β€” General $17.94

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES IL 019033726

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

17 listed
Dr. Sogol Biroon , DMD

Dentist - General Practice

NPI 1821607839

Doctor of Dental Medicine

NPI 1548632318

Doctor of Dental Medicine

NPI 1528442209
NPI 1013585421
NPI 1699382333

Doctor of Dental Surgery

NPI 1518488964

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2024

Dentist (license number reported to NPPES: IL 019033726)

βœ…
NPI Profile Active August 30, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 30, 2023

Registered at 2800 COLLEGE AVE, ALTON, IL 620024742 (Tel: 6184747000)

πŸ“
Business Mailing Address (Initial Record) August 30, 2023

Registered at 1214 OAKLEAF DR, SAINT LOUIS, MO 631191038 (Tel: 8155312746)

πŸ‘€
Provider Name / Credentials (Initial Record) August 30, 2023

Recorded as ERIC KUBACKI, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2023

Dentist (license number reported to NPPES: IL 019.033726)

🟒
Initial NPI Registration & Enumeration August 30, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114702743
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2023
Last Update: September 24, 2024
Sole Proprietor: No

Other Dentist - General Practices in Alton

All Dentist - General Practices in Alton

Mailing Address

1214 Oakleaf Dr

Saint Louis, MO 631191038

Phone: 8155312746

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.