DR. SAMUEL BROOKS ALLEN (NPI# 1033567359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033567359 |
Entity Type | Individual |
Full Name | DR. SAMUEL BROOKS ALLEN |
Credential | D.D.S. |
Practice Address |
6800 Main St., Third Floor Downers Grove IL 60516 |
Practice Telephone | 6309695350 |
Practice Fax Number | 6309694692 |
Mailing Telephone | 6309695350 |
Mailing Fax Number | 6309694692 |
Enumeration Date | 2016-05-26 |
Last Update Date | 2016-05-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
19030584 | IL | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | LICENSE | 19030584 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093241739 | Samuel Jonathon Allen | Student in an Organized Health Care Education/Training Program | 408 Ethan Allen Ave, Takoma Park, MD 20912-5429 | 2017-05-01 |
1598066284 | Samuel Disston Allen Jr. | Urology | 523 Guinevere Dr, New Town Square, PA 19073 | 2010-11-11 |
1952503492 | Samuel Alejandro Allen | Dentist | Manning Dr Columbia St, Chapel Hill, NC 27599-7450 | 2007-06-05 |
1801965603 | Samuel Edward Allen | Dentist | 7505 Tower Rd, South Lyon, MI 48178-7051 | 2006-11-07 |
1255956397 | Samuel Allen | Pharmacist | 5690 W Broad St, Galloway, OH 43119-8127 | 2020-06-15 |
1225419419 | Samuel H Allen | Marriage & Family Therapist | 1320 19th St Nw Ste 200, Washington, DC 20036 | 2015-06-12 |
1215263710 | Samuel L Allen | Registered Nurse | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2009-10-19 |
1093901506 | Samuel Allen | Physical Therapist | 4202 S University Ave, Little Rock, AR 72204-7841 | 2007-09-18 |
1306861414 | Samuel A Allen | Internal Medicine | 44199 Dequindre Rd, Suite 311, Troy, MI 48085-1128 | 2006-07-12 |
1548203698 | Samuel S. Allen | Counselor | 2609 N Duke St, Durham, NC 27704-3019 | 2006-06-14 |
Street Address |
6800 MAIN ST., THIRD FLOOR |
City | DOWNERS GROVE |
State | IL |
Zip Code | 60516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174015432 | Costula Cassiani | Behavior Technician | 20w438 Camder Drive, Downers Grove, IL 60516 | 2018-06-02 |
1346769130 | Zahra Bohri | Dietitian, Registered | 6337 Blodgett Ct, Downers Grove, IL 60516 | 2017-09-13 |
1396019469 | Beverly Woltman | Technician/Technologist | 6800 S. Main Street, Suite Ll5, Downers Grove, IL 60516 | 2012-03-06 |
1992080642 | Verna Dianne Velazquez | Counselor | 5630 Hillcrest Rd, Downers Grove, IL 60516 | 2011-10-13 |
1598048274 | Rabia Ansari | Optometrist | 1530 W 75th St, Downers Grove, IL 60516 | 2011-09-20 |
1487971545 | Brilliant Dental LLC | Dentist | 1400 W 75th St, B1, Downers Grove, IL 60516 | 2010-04-29 |
1235466558 | Erika D Schultz | Social Worker | 11008 Palmer St., Downers Grove, IL 60516 | 2009-11-06 |
1124253836 | Main Street Chiropractic and Wellness Center Ltd | Clinic/Center | 6234 S Main Street, Downers Grove, IL 60516 | 2009-05-26 |
1841439320 | Lisa Marie Burknap | Behavioral Analyst | 9 South 329 Cumnor, Downers Grove, IL 60516 | 2009-02-06 |
1154579811 | Alpha Medical LLC | Clinical Medical Laboratory | 8635 Lemont Road, Downers Grove, IL 60516 | 2008-09-05 |
Find all providers in zip 60516 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
1982083135 | Zachary T Frazier Dds PC | Dentist | 4909 Forest Ave, Downers Grove, IL 60515-3509 | 2015-05-20 |
1245445964 | Meenakshi Balakrishnan | Dentist | 1330 Ogden Ave, Downers Grove, IL 60515-2772 | 2007-05-14 |
1679788319 | Yourthodontist Limited | Dentist | 1330 Ogden Avenue, Downers Grove, IL 60515-2772 | 2007-05-14 |
1457579054 | Richard Frederick Callahan | Dentist | 5133 Washington St Ste 7, Downers Grove, IL 60515-4757 | 2007-04-22 |
1790286169 | Ortho2smile | Dentist | 4326 Prince St, Downers Grove, IL 60515-2875 | 2018-02-21 |
1497106199 | Katharina S Fung | Dentist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2016-06-24 |
1659527539 | Lisa Maire Mckee | Dentist | 6224 Main St, C, Downers Grove, IL 60516-1900 | 2008-08-12 |
1659479467 | Andrew M. Clark | Dentist | 6800 Main St, Suite 315, Downers Grove, IL 60516-3493 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427670421 | Braces By Barnes | Dentist | 1335 E 87th St Ste B, Chicago, IL 60619-7036 | 2020-05-12 |
1790310431 | Gregory D Long II | Dentist | 7131 N Knoxville Ave Ste B, Peoria, IL 61614-2088 | 2020-03-03 |
1073147682 | Collinsville Orthodontics Pllc | Dentist | 93 Crestmoor St, Collinsville, IL 62234-4952 | 2020-02-24 |
1740812494 | Bankhead Alton Orthodontics PC | Dentist | 2828 Homer Adams Pkwy, Alton, IL 62002-4855 | 2020-02-11 |
1336779164 | Orthodontic Experts, Ltd | Dentist | 2987 Kirk Rd Ste 103a, Aurora, IL 60502-6014 | 2020-01-21 |
1922645308 | Riddhi J Desai Dmd Pllc | Dentist | 727 W Madison St Apt 1208, Chicago, IL 60661-2409 | 2019-12-04 |
1295379691 | Orthodontic Experts, Ltd | Dentist | 1351 N Larkin Ave, Joliet, IL 60435-3753 | 2019-10-30 |
1407409071 | Barysenka LLC | Dentist | 124 N California St, Sycamore, IL 60178-1402 | 2019-07-22 |
1346806577 | Pulaski Smiling Dental P.C. | Dentist | 5540 S Pulaski Rd Fl 1, Chicago, IL 60629-4418 | 2019-05-13 |
1750944252 | Candid Illinois, Pllc | Dentist | 750 N Franklin St Fl Stc2, Chicago, IL 60654-6263 | 2019-04-19 |
Find all providers with the same taxonomy |
City | DOWNERS GROVE |
Zip Code | 60516 |
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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.