PETER A DRAHOS DDS PC (NPI# 1003254947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003254947 |
| Entity Type | Organization |
| Organization Name | PETER A DRAHOS DDS PC |
| Other Organization Name | PG FAMILY DENTAL |
| Practice Address |
9118 Ogden Ave Unit B Brookfield IL 60513-1974 |
| Practice Telephone | 7735161262 |
| Mailing Telephone | 7735161262 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |
| Authorized Official Name | DR. PETER ANDREW DRAHOS (DENTIST - PRESIDENT) |
| Authorized Official Telephone | 7735161262 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019027907 | IL | Dental Providers |
| Other Name | Type Code |
|---|---|
| PG Family Dental | Doing Business As Name - Organization |
| Street Address |
9118 OGDEN AVE UNIT B |
| City | BROOKFIELD |
| State | IL |
| Zip Code | 60513-1974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801318712 | Filip Maksimovic | Physical Therapy Assistant | 4329 Forest Ave, Brookfield, IL 60513 | 2017-07-12 |
| 1649666439 | Little Sprouts Pediatric Therapy Services, Inc | Occupational Therapist | 4324 Blanchan Ave., Brookefield, IL 60513 | 2015-04-08 |
| 1043411945 | School District 95 | Local Education Agency (LEA) | 2524 Maple Avenue, Brookfield, IL 60513 | 2007-05-29 |
| 1306972112 | George Tomecki | Family Medicine | 8905 Burlington Ave, Brookfield, IL 60513 | 2007-02-26 |
| 1316036486 | Community Support Services | Social Worker | 9021 Ogden Avenue, Brookfield, IL 60513 | 2006-10-12 |
| 1255425476 | Daniel J Lehenbauer | Dentist | 9224 Broadway, Brookfield, IL 60513 | 2006-10-03 |
| 1669574513 | Todd C Martin | Dentist | 9435 W. Ogden Ave, Brookfield, IL 60513 | 2006-09-02 |
| 1316988397 | Ehtesham J Ghani | Internal Medicine | 9223 Ogden Avenue, Brookfield, IL 60513 | 2006-06-09 |
| 1518302595 | Brook Park Medical Associates S C | Internal Medicine | 3101 Maple Ave, Brookfield, IL 60513 | 2013-05-06 |
| 1508076225 | Ehtesham J Ghani Md Sc | Internal Medicine | 9223 Ogden Avenue, Brookfield, IL 60513 | 2007-05-23 |
| Find all providers in zip 60513 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570528 | Grace Kim Tosi | Dentist | 15375 W Bluemound Rd Ste 150, Brookfield, WI 53005-4008 | 2019-10-21 |
| 1073073151 | Miranda Marie Brown | Dentist | 17600 W Capitol Dr, Brookfield, WI 53045-2003 | 2019-03-23 |
| 1689011991 | Adam Jon Meinhardt | Dentist | 3930 N Brookfield Rd, Suite A, Brookfield, WI 53045-1960 | 2013-05-28 |
| 1689994824 | Samantha Taylor Cox | Dentist | 12455 W Capitol Dr, Unit E, Brookfield, WI 53005-2461 | 2010-06-10 |
| 1306002258 | Keith E Post | Dentist | 15655 W North Ave, #102, Brookfield, WI 53005-4422 | 2008-07-30 |
| 1720244759 | Saadallah Jabri | Dentist | 9144 Broadway Ave, Brookfield, IL 60513-1304 | 2008-07-30 |
| 1437339421 | Alan John Stover | Dentist | 16475 Tia Ct, Brookfield, WI 53005-1311 | 2007-11-07 |
| 1407043417 | Thomas Andersen | Dentist | 14265 Sunrise Ave, Brookfield, WI 53005-1122 | 2007-10-03 |
| 1053514471 | Robert Allen Jazgar I | Dentist | 2355 Tilton Ct, Brookfield, WI 53045-4282 | 2007-06-06 |
| 1720102700 | Charles Wiliam Steinbach | Dentist | 18200 W Capitol Dr Ste 202, Brookfield, WI 53045-1446 | 2007-03-16 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 60513 |
Please comment or provide details below to improve the information on PETER A DRAHOS DDS PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.