MANTIS DENTISTRY & IMPLANT CENTER


Address: 1625 Sheridan Rd, Wilmette, IL 60091-1824
Phone: 8472564776

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 019020682 IL Dental Providers

Office Location

Street Address 1625 SHERIDAN RD
City WILMETTE
State IL
Zip Code 60091-1824

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City WILMETTE
Zip Code 60091

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Dataset Information

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.

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