HERITAGE GROVE FAMILY DENTAL P.C. (NPI# 1013336445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013336445 |
| Entity Type | Organization |
| Organization Name | HERITAGE GROVE FAMILY DENTAL P.C. |
| Practice Address |
12426 S Van Dyke Rd Unit B Plainfield IL 60585-2700 |
| Practice Telephone | 8152541375 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |
| Authorized Official Name | DR. PETE A GALLOS (DENTIST) |
| Authorized Official Telephone | 8152541375 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019025501 | IL | Dental Providers |
| Street Address |
12426 S VAN DYKE RD UNIT B |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60585-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023461670 | Mark Humbert | Chiropractor | 12426 S Van Dyke Rd, Plainfield, IL 60585-2700 | 2016-07-19 |
| 1124471859 | Proactive Chiropractic Group of Plainfield Inc | Chiropractor | 12426 S Van Dyke Rd, Plainfield, IL 60585-2700 | 2016-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851918650 | Kaytlin Cearnal | Behavior Technician | 11914 Illinois Rte 59, Suite 124, Plainfield, IL 60585 | 2020-06-29 |
| 1891315503 | Erin Leigh Lehman | Social Worker | 11914 Illinois Rte 59 Suite 124, Plainfield, IL 60585 | 2020-04-22 |
| 1770112856 | Neuro Communication & Swallowing Therapy LLC | Speech-Language Pathologist | 13400 S. Route 59, Ste 116, Plainfield, IL 60585 | 2020-04-02 |
| 1407494891 | Samantha Lisa Delaney | Behavior Technician | 11914 Il-59, Plainfield, IL 60585 | 2019-12-16 |
| 1134767510 | Alexandra Marie Vosburgh | Behavior Technician | 11914 Il-59 S Unit 124, Plainfield, IL 60585 | 2019-12-16 |
| 1609419498 | Kristen Gomez | Occupational Therapist | 11914 Il Route 59, Suite 124, Plainfield, Il, IL 60585 | 2019-10-24 |
| 1073165411 | Kari Mild | Speech-Language Pathologist | 1183 Ford Court, Plainfield, IL 60585 | 2019-07-16 |
| 1700367810 | Monica Isabel Avelar | Behavior Technician | 11914 Illinois Route 59, Plainfield, IL 60585 | 2018-08-27 |
| 1427599901 | Harrinder Panglia | Occupational Therapist | 12800 Barrow Lane, Plainfield, IL 60585 | 2017-03-16 |
| 1942678990 | Jessica Akins | Speech-Language Pathologist | 12838 Blue Spruce Dr, Plainfield, IL 60585 | 2015-09-08 |
| Find all providers in zip 60585 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437696044 | Zheng Ma, Dmd, PC | Dentist | 7156 Caton Farm Rd, Suite I, Plainfield, IL 60586-1695 | 2017-01-21 |
| 1659821312 | Illinois Dental Providers, P. C. | Dentist | 12720 S Route 59, Suite 200, Plainfield, IL 60585-5505 | 2016-10-06 |
| 1447706189 | Kestler and Jarus D.d.s. Pa | Dentist | 308 E Front St, Plainfield, NJ 07060-1321 | 2016-09-01 |
| 1568917508 | Dental Shine II P.c | Dentist | 11830 S Route 59, Suite 110, Plainfield, IL 60585-5894 | 2016-08-19 |
| 1255702478 | Dental Professionals of Indiana, PC | Dentist | 2455 E. Main St., Suite 104, Plainfield, IN 46168 | 2015-10-14 |
| 1093120917 | Simona Ziliute | Dentist | 13621 S Route 59 Unit 103, Plainfield, IL 60544-9701 | 2014-06-30 |
| 1518212455 | Manik Mohan | Dentist | 721 Norwich Rd, Plainfield, CT 06374-1734 | 2012-07-17 |
| 1851603385 | Erin Rake | Dentist | 167 N Dan Jones Rd, Plainfield, IN 46168-1874 | 2010-07-13 |
| 1447572003 | Valley Dental Care of Plainfield | Dentist | 2356 S Route 59, Plainfield, IL 60586-7756 | 2010-02-24 |
| 1154656775 | Maupin Family Dentistry | Dentist | 1070 West Main Street Suite 151, Plainfield, IN 46168-9704 | 2009-10-15 |
| Find all providers in PLAINFIELD | ||||
| City | PLAINFIELD |
| Zip Code | 60585 |
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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.