INTERNATIONAL DENTAL CENTER (NPI# 1083905467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083905467 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL DENTAL CENTER |
| Practice Address |
3502 E State St Rockford IL 61108-1914 |
| Practice Telephone | 8152271050 |
| Mailing Telephone | 8152271050 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |
| Authorized Official Name | DR. RABEH R MOHAMMAD-SALAMAH (PRESIDENT) |
| Authorized Official Telephone | 7732271245 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750518502 | International Dental Center | Point of Service | 18 S Larkin Ave, Joliet, IL 60436-1244 | 2009-06-19 |
| 1659427425 | International Dental Center | Point of Service | 3138 N Narragansett Ave, Chicago, IL 60634-4919 | 2007-01-26 |
| 1518246735 | International Dental Center | Dentist | 305 W Indian Trl, Unit C, Aurora, IL 60506-2400 | 2011-08-04 |
| 1750694824 | International Dental Center | Dentist | 18 S Larkin Ave, Unit 6, Joliet, IL 60436-1244 | 2010-07-19 |
| 1013063031 | International Dental Center | Point of Service | 2122 N Milwaukee Ave, Chicago, IL 60647-4067 | 2007-01-25 |
| Street Address |
3502 E STATE ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659886679 | Aashna Saurabh Bhow | Dentist | 3502 E State St, Rockford, IL 61108-1914 | 2017-12-13 |
| 1750732947 | Zaid Naser | Dentist | 3502 E State St, Rockford, IL 61108-1914 | 2016-06-29 |
| 1730458878 | Global Dental Center Inc | Point of Service | 3502 E State St, Rockford, IL 61108-1914 | 2011-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043548563 | River District Rehabilitation, LLC | Point of Service | 119 N Wyman St, Rockford, IL 61101-1107 | 2009-11-20 |
| 1891991550 | Grand Victorian of Rockford, LLC | Point of Service | 3495 Mcfarland Rd, Rockford, IL 61114-5609 | 2007-06-21 |
| 1730458878 | Global Dental Center Inc | Point of Service | 3502 E State St, Rockford, IL 61108-1914 | 2011-12-19 |
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| 1033590427 | Interstate Phlebotomy Services Inc | Point of Service | 3200 Drover Ln, Darien, IL 60561-1642 | 2015-06-11 |
| 1699182642 | In Home Counseling for Seniors | Point of Service | 2318 N Lowell Ave, Chicago, IL 60639-3520 | 2014-07-22 |
| 1972934610 | Center for Vitality and Balance, LLC | Point of Service | 1280 Iroquois Ave Ste 404, Naperville, IL 60563-8570 | 2013-12-05 |
| 1720419732 | The Excellence Group, LLC | Point of Service | 1102 E 46th St Unit 202, Chicago, IL 60653-4435 | 2013-12-02 |
| 1457781916 | Applied Behavior Interventions | Point of Service | 219 N Oak Park Ave, Oak Park, IL 60302-2151 | 2013-11-20 |
| Find all providers with the same taxonomy | ||||
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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.