EZ DENTAL (NPI# 1104284710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104284710 |
| Entity Type | Organization |
| Organization Name | EZ DENTAL |
| Practice Address |
5621 W.montrose Avenue Chicago IL 60634 |
| Mailing Address |
5621 W.montrose Ave Chicago IL 60634 |
| Practice Telephone | 7734271000 |
| Mailing Telephone | 7734271000 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |
| Authorized Official Name | ABDUL MAJZOUB (BOSS) |
| Authorized Official Telephone | 7735834455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 292200000X | Dental Laboratory | 019023027 | IL | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | EZ DENTAL BILLING LLC | 215 Williamston Ridge Dr, Youngsville, NC 27596 |
| Colorado Business Entities | EZ Dental Corp | 1448 Yellow Tail Dr., Colorado Springs, CO 80921 |
| Street Address |
5621 W.MONTROSE AVENUE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987333 | Alejandra Carrera | Student in an Organized Health Care Education/Training Program | 6417 W Irving Park Rd., Chicago, IL 60634 | 2019-11-25 |
| 1861977456 | Virtue Counseling Center | Counselor | 2904 N Parkside, Chicago, IL 60634 | 2018-09-28 |
| 1770931255 | Dynamic Transport Solutions LLC | Non-emergency Medical Transport (VAN) | 6109 W. Barry, Chicago, IL 60634 | 2016-05-25 |
| 1285075432 | Chicago Medical Transportation | Non-emergency Medical Transport (VAN) | 3033 N. Nordica Ave., Chicago, IL 60634 | 2013-07-16 |
| 1083985725 | Maria C. Rodriguez | Lactation Consultant, Non-RN | 6216 W. School St., Chicago, IL 60634 | 2012-01-25 |
| 1295066827 | Angie Harris | Occupational Therapist | 3339 N. Octavia, Chicago, IL 60634 | 2010-01-21 |
| 1205169802 | Belmont Dental P.C. | Dentist | 5611 W. Belmont Ave., Chicago, IL 60634 | 2009-09-14 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1306086624 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3615 N. Central Ave, Chicago, IL 60634 | 2009-02-26 |
| 1497993026 | Daniel Michal Domagala | Dentist | 3208 N. Major Avenue, Chicago, IL 60634 | 2009-02-04 |
| Find all providers in zip 60634 | ||||
| Taxonomy Code | 292200000X |
| Grouping | Laboratories |
| Classification | Dental Laboratory |
| A commercial laboratory specializing in the construction of dental appliances that conform to a dentist’s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 1245. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457589715 | Drflash | Dental Laboratory | 23657 W Orchard Ln, Plainfield, IL 60586-8012 | 2009-06-25 |
| 1851530166 | Dental Arts Laboratories, Inc. | Dental Laboratory | 241 Ne Perry Ave, Peoria, IL 61603-3625 | 2009-02-10 |
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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.