DR. EDGAR J BREDA (D.D.S.) – Oral and Maxillofacial Surgery (Dentist), NPI 1497742407

DR. EDGAR J BREDA (D.D.S.) is a healthcare provider. based in Belleville, Illinois. specializing in Oral and Maxillofacial Surgery (Dentist). They hold the professional credentials D.D.S.. The NPI Number for DR. EDGAR J BREDA (D.D.S.) is 1497742407

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDGAR J BREDA (D.D.S.)
NPI
1497742407
Phone
(618) 233-8080
Address
2900 FRANK SCOTT PKWY W
Enumeration Date
4 October 2005
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
6182338080
Graduation Year
1989 (37 years ago)
PAC ID
9436338175
Group Practice PAC ID
7517146244
Professional Enrollment ID
I20110126000896
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for DR. EDGAR J BREDA (D.D.S.)

  • Frank Scott Parkway West, Gartside, Belleville, Saint Clair County, Illinois, 62223, United States

    SUITE 960

    BELLEVILLE, IL 622235000

    Phone: (618) 233-8080

    Fax: (618) 233-1192

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62223)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517146244View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. EDGAR J BREDA (D.D.S.)?
The registry entry for DR. EDGAR J BREDA (D.D.S.) shows NPI 1497742407.
Is DR. EDGAR J BREDA (D.D.S.)'s NPI status active today?
Active status means DR. EDGAR J BREDA (D.D.S.)'s NPI record is not deactivated in the public file.
What does the directory say DR. EDGAR J BREDA (D.D.S.) does?
Insurance directories may phrase it differently, but here DR. EDGAR J BREDA (D.D.S.) maps to Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Can patients visit DR. EDGAR J BREDA (D.D.S.) in Belleville, Illinois?
For routing, start with Belleville, Illinois for DR. EDGAR J BREDA (D.D.S.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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