TWO RIVERS DENTAL PC (NPI# 1124382288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124382288 |
| Entity Type | Organization |
| Organization Name | TWO RIVERS DENTAL PC |
| Other Organization Name | ESTRELLA DENTAL |
| Practice Address |
247 Dundee Ave Elgin IL 60120-4235 |
| Practice Telephone | 8474881100 |
| Practice Fax Number | 8474881101 |
| Mailing Telephone | 8474881100 |
| Mailing Fax Number | 8474881101 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |
| Authorized Official Name | DR. REEM SHAFI (OWNER) |
| Authorized Official Telephone | 6307303233 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019024809 | IL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Estrella Dental | Doing Business As Name - Organization |
| Street Address |
247 DUNDEE AVE |
| City | ELGIN |
| State | IL |
| Zip Code | 60120-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003267162 | Garrett Sendor | Dentist | 247 Dundee Ave, Elgin, IL 60120-4235 | 2016-06-29 |
| 1265816417 | Samar Syed | Dentist | 247 Dundee Ave, Elgin, IL 60120-4235 | 2015-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391749 | Kids Above All | Clinic/Center | United Methodist Church, 651 Lillie Street, Elgin, IL 60120 | 2018-09-28 |
| 1215483979 | Kelly Fetherling | Social Worker | 6912 S Main St., Elgin, IL 60120 | 2016-08-31 |
| 1164870457 | Peter Norton | Pharmacist | 1038 Summit Street, Elgin, IL 60120 | 2016-05-27 |
| 1417316373 | Beverly Brewster | Counselor | 675 Varsity Dr., Elgin, IL 60120 | 2016-02-19 |
| 1407194780 | Well Baby Care PC | Pediatrics | 1185-87 Dundee Avenue, Suite A-2, Elgin, IL 60120 | 2013-01-22 |
| 1740533546 | Vna Health Care | Clinic/Center | 801 Villa Street, Elgin, IL 60120 | 2012-10-18 |
| 1457638934 | Sharon Rose Nemenzo Araneta | Physical Therapist | 795 Summit St, Elgin, IL 60120 | 2011-11-10 |
| 1770866451 | Claudette M Vanhessen | Pharmacist | 815 Summit Street, Elgin, IL 60120 | 2011-09-20 |
| 1083993430 | Monica J. Fudala | Family Medicine | 820 Summit St # B4, Elgin, IL 60120 | 2011-08-16 |
| 1144517830 | Complete Care Medical Center, S.c | Family Medicine | 373 Summit St Ste 100, Elgin, IL 60120 | 2011-07-01 |
| Find all providers in zip 60120 | ||||
| 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 |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801351192 | Elgin Cube Smiles Pllc | Dentist | 910 Lee Dildy Blvd #260, Elgin, TX 78621 | 2019-01-31 |
| 1811415920 | Kimberly Trinh | Dentist | 2050 Larkin Ave Ste 100, Elgin, IL 60123-5888 | 2017-09-08 |
| 1275069932 | Feels Like Family Dentistry | Dentist | 100 Pontiac Business Center Dr Ste C, Elgin, SC 29045-9171 | 2017-05-02 |
| 1780059063 | Yousaf Ahmad Dds LLC | Dentist | 2415 Bowes Rd, Suite #110, Elgin, IL 60123-5535 | 2015-12-11 |
| 1053675173 | Megha Bassi | Dentist | 910 W 11th St, Suite 260, Elgin, TX 78621-2042 | 2012-07-03 |
| 1972865491 | Yousaf Hasan Ahmad | Dentist | 2415 Bowes Rd Ste 110, Elgin, IL 60123-5535 | 2012-06-11 |
| 1659650893 | Elgin Family Dentistry | Dentist | 124 2nd Ave Se, Elgin, MN 55932-9732 | 2011-08-05 |
| 1205169182 | Fortress Dental Corporation | Dentist | 1350 E. Chicago St, Suite 4, Elgin, IL 60120 | 2009-09-10 |
| 1023269644 | Edward Kalsbeek | Dentist | 595 N. Weston Ave, Elgin, IL 60123-3338 | 2008-10-01 |
| Find all providers in ELGIN | ||||
Please comment or provide details below to improve the information on TWO RIVERS DENTAL PC.
| 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.