DR. JAMES WILLIAM CONWAY (NPI# 1003966904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003966904 |
| Entity Type | Individual |
| Full Name | DR. JAMES WILLIAM CONWAY |
| Credential | DDS, MSD |
| Practice Address |
3001a Sixth St Great Lakes IL 60088 |
| Mailing Address |
3001a Sixth St. Great Lakes IL 60088-2209 |
| Practice Telephone | 8476883331 |
| Mailing Telephone | 8476883331 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
021-01184 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582299 | James Conway | Home Health | 2555 Old Trevose Rd Apt H2, Feasterville Trevose, PA 19053-6862 | 2019-11-14 |
| 1417513235 | James Matthew Conway | Social Worker | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| 1346379245 | James Richard Conway Jr. | Chiropractor | 14545 Hwy E. Rt. 422 Box 122, Strongstown, PA 15957-0122 | 2007-03-05 |
| 1770646887 | James M Conway | Pharmacist | 1351 William Howard Taft Rd, Cincinnati, OH 45206-1721 | 2006-12-19 |
| 1891795365 | James R Conway | Optometrist | 1275 Glen Dr, Millersburg, OH 44654-8958 | 2005-07-27 |
| 1790340263 | James Conway | Behavior Technician | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4201 | 2019-05-09 |
| 1982900353 | James R Conway | Case Manager/Care Coordinator | 1000 S 13th St, Lincoln, NE 68508-3533 | 2011-02-02 |
| 1669617577 | James Conway | Psychologist | 23 Central Ave, Lynn, MA 01901-1220 | 2008-12-05 |
| 1700086451 | James Conway | Case Manager/Care Coordinator | 4710 Champions Trace Ln, 102, Louisville, KY 40218-3495 | 2007-07-20 |
| 1043356314 | James Edmond Conway | Neurological Surgery | 5051 Greenspring Ave, Suite 101, Baltimore, MD 21209-4354 | 2007-01-30 |
| Street Address |
3001A SIXTH ST |
| City | GREAT LAKES |
| State | IL |
| Zip Code | 60088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891779146 | Jennifer Brattland Ota | Internal Medicine | 3001a Sixth St, Internal Medicine Clinic, Great Lakes, IL 60088-5230 | 2005-11-30 |
| 1508012279 | Scott Hocker | Dentist | 3001a Sixth St, Bldg. 1017 Uss Osborne, Great Lakes, IL 60088 | 2008-08-14 |
| 1679541676 | Clifford Loren Moudy II | Military Health Care Provider | 3001a Sixth St, Naval Hospital Great Lakes, Great Lakes, IL 60088-5230 | 2006-03-08 |
| 1285604009 | Charles William Paddock IIi | Dentist | 3001a Sixth St, Great Lakes, IL 60088 | 2006-01-24 |
| 1053397992 | John Schroer | Dentist | 3001a Sixth St, Naval Hospital Great Lakes, Great Lakes, IL 60088-5211 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858228 | Kathryn Ann Bird | Dentist | 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 | 2019-12-18 |
| 1740775576 | Jonathan William Criter | Dentist | 3400 Ohio St, Great Lakes, IL 60088 | 2018-06-25 |
| 1134598733 | True Xiong | Dentist | Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 | 2015-09-24 |
| 1447685771 | Lisa Carol Perrone | Dentist | Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 | 2013-09-05 |
| 1437438421 | David Lawrence Green | Dentist | 2410 Samson St., Bldg 237, Great Lakes, IL 60088 | 2011-08-09 |
| 1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
| 1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
| 1164736302 | Clinton Lariscy | Military Health Care Provider | 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 | 2010-07-29 |
| 1083943906 | James Doll | Dentist | 2608 Paul Jones St, Great Lakes, IL 60088 | 2009-12-24 |
| 1396996823 | Kelly Robert Lanning | Dentist | 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 | 2008-10-02 |
| Find all providers in zip 60088 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619948858 | Floyd Irvine Sandlin IIi | Dentist | 3001 6th St, Great Lakes, IL 60088-2833 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309399 | Dominik Dubravec Dds Mmsc PC | Dentist | 555 W Court St Ste 202, Kankakee, IL 60901-3674 | 2020-09-02 |
| 1598374167 | Dubravec Periodontal Specialists PC | Dentist | 20635 Abbey Woods Ct N Ste 203, Frankfort, IL 60423-3186 | 2020-07-29 |
| 1972145183 | Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr | Dentist | 820 E 87th St Ste 201, Chicago, IL 60619-6256 | 2019-10-09 |
| 1083192389 | Amirreza Ghassemi | Dentist | 2800 College Ave Bldg 285, Alton, IL 62002-4742 | 2018-07-30 |
| 1508355678 | Periodontal Associates, LLP | Dentist | 845 N Michigan Ave Ste 940w, Chicago, IL 60611-2216 | 2018-05-04 |
| 1043750714 | Bloomingdale Dental Rez, PC | Dentist | 1 Tiffany Pt Ste 209, Bloomingdale, IL 60108-2916 | 2017-03-01 |
| 1114398831 | Dubravec Periodontal Associates, PC | Dentist | 1900 Spring Rd, Suite 205, Oak Brook, IL 60523-1447 | 2015-10-08 |
| 1689059297 | Amer Atassi | Dentist | 6224 S Elm St, Burr Ridge, IL 60527-5228 | 2015-07-24 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| 1215345939 | Mark Kolozenski, Dds, Ms, PC | Dentist | 10083 W Lincoln Hwy, Frankfort, IL 60423-1272 | 2014-07-25 |
| Find all providers with the same taxonomy | ||||
| City | GREAT LAKES |
| Zip Code | 60088 |
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| 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.