MANTIS DENTISTRY & IMPLANT CENTER (NPI# 1134660392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134660392 |
Entity Type | Organization |
Organization Name | MANTIS DENTISTRY & IMPLANT CENTER |
Practice Address |
1625 Sheridan Rd Wilmette IL 60091-1824 |
Practice Telephone | 8472564776 |
Enumeration Date | 2017-03-20 |
Last Update Date | 2017-03-20 |
Authorized Official Name | KONSTANTINO MANTIS (DENTIST) |
Authorized Official Telephone | 8472564776 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 019020682 | IL | Dental Providers |
Street Address |
1625 SHERIDAN RD |
City | WILMETTE |
State | IL |
Zip Code | 60091-1824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952369217 | North Shore Physicians Group, LLC | Specialist | 1625 Sheridan Rd, Wilmette, IL 60091-1824 | 2006-05-03 |
1336580026 | Presence Ambulatory Service | Clinic/Center | 1625 Sheridan Rd, Suite 1a, Wilmette, IL 60091-1824 | 2013-07-10 |
1649514274 | Andrea Sabine Wieger | Physical Therapist | 1625 Sheridan Rd, Suite A, Wilmette, IL 60091-1824 | 2012-11-20 |
1740554450 | Resurrection Services | Internal Medicine | 1625 Sheridan Rd, Suite A, Wilmette, IL 60091-1824 | 2012-02-27 |
1710259577 | Resurrection Services | Internal Medicine | 1625 Sheridan Rd, Suite F, Wilmette, IL 60091-1824 | 2012-02-08 |
1972885374 | Mary Morgan Snediker | Nurse Practitioner | 1625 Sheridan Rd, Wilmette, IL 60091-1824 | 2011-09-13 |
1881853372 | Jaime So | Physical Therapist | 1625 Sheridan Rd, Suite A, Wilmette, IL 60091-1824 | 2008-06-09 |
1528255213 | Lgm,llc | Internal Medicine | 1625 Sheridan Rd, Wilmette, IL 60091-1824 | 2007-09-26 |
1184818791 | Rajesh Jindal | Internal Medicine | 1625 Sheridan Rd, Wilmette, IL 60091-1824 | 2007-08-28 |
1598970360 | Northshore Physicians Group, LLC | Physical Therapist | 1625 Sheridan Rd, Suite A, Wilmette, IL 60091-1824 | 2007-05-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
1720411085 | Catherine Elizabeth Zwergel | Acupuncturist | 1215 Washington Ave Ste 203, Wilmette, IL 60091 | 2013-08-09 |
1447693106 | Michael Joseph Engelman | Dentist | 1625 Sheridan Rd. Suite M, Wilmette, IL 60091 | 2013-04-12 |
1720365117 | Anna Kielar | Pharmacist | 811 Greenbay Rd, Wilmette, IL 60091 | 2011-11-14 |
1306128368 | Victoriya Kharon | Pharmacist | 811 Greenbay Road, Wilmette, IL 60091 | 2011-09-15 |
1154626653 | Mary Jo Schmitz | Physical Therapist | 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 | 2011-01-14 |
1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
Find all providers in zip 60091 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649671389 | Steven Jordan Bacalar | Dentist | 411 Linden Ave, Wilmette, IL 60091-2844 | 2014-09-12 |
1659504827 | Kathy H. Jean | Dentist | 921 Ridge Road, Wilmette, IL 60091 | 2009-09-03 |
1164687265 | Joseph R Ceisel | Dentist | 423 4th St, Wilmette, IL 60091-2826 | 2008-07-28 |
1790848158 | Michael J Engelman Dds Ltd | Dentist | 1625 Sheridan Road, Suite M, Wilmette, IL 60091 | 2006-12-18 |
1841363397 | Loveline Dulay Reyes | Dentist | 929 Ridge Road, Wilmette, IL 60091 | 2006-11-15 |
1154439552 | Joseph Thomas Hicken | Dentist | 723 Ridge Road, Wilmette, IL 60091-2443 | 2006-08-26 |
1730103409 | Peter H. Neuhaus | Dentist | 344 Linden Ave, Wilmette, IL 60091-2843 | 2006-07-27 |
1063030856 | Hannah Elizabeth Groh | Dentist | 1159 Wilmette Ave, Wilmette, IL 60091-2649 | 2020-07-08 |
1326669078 | Robert Madrigal | Dentist | 344 Linden Ave, Wilmette, IL 60091-2843 | 2020-05-05 |
1811342702 | Tinytoothpa Ltd | Dentist | 1103 Central Ave, Wilmette, IL 60091-2611 | 2016-04-27 |
Find all providers in WILMETTE |
Please comment or provide details below to improve the information on MANTIS DENTISTRY & IMPLANT CENTER.
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.