JARED P ISOM (NPI# 1164529723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164529723 |
| Entity Type | Individual |
| Full Name | JARED P ISOM |
| Credential | D.D.S. |
| Practice Address |
200 W Mill St Millstadt IL 62260-1148 |
| Practice Telephone | 6184761400 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| Street Address |
200 W MILL ST |
| City | MILLSTADT |
| State | IL |
| Zip Code | 62260-1148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952443616 | Lauren Elizabeth Milton | Occupational Therapist | 3307 Mill Park Ct, Millstadt, IL 62260 | 2007-02-12 |
| 1053487074 | John F Touchette | Dentist | 9 E Van Buren, Millstadt, IL 62260 | 2006-11-28 |
| 1326158114 | Philip Matthew Acker | Dentist | 502 W Washington, Millstadt, IL 62260 | 2006-08-30 |
| 1447203245 | Brian C Blair | Pharmacist | 120 W Washington, Millstadt, IL 62260 | 2006-05-19 |
| 1265563662 | Penny Bobcik | Pharmacist | 120 W Washington, Millstadt, IL 62260 | 2007-03-08 |
| 1487819306 | Ulrica Elisabeth Bateman | Speech-Language Pathologist | 105 W Parkview Dr, Millstadt, IL 62260-1127 | 2008-07-21 |
| 1477692911 | Millstadt Ccsd 160 | Local Education Agency (LEA) | 211 W Mill St, Millstadt, IL 62260-1147 | 2007-02-05 |
| 1588277412 | Amy Perez | Speech-Language Pathologist | 211 W Mill St, Millstadt, IL 62260-1147 | 2020-08-29 |
| 1326651613 | Bwe & Tme Inc | Pharmacy | 120 W Washington St, Millstadt, IL 62260-1156 | 2020-08-26 |
| 1760008130 | Hannah N Quirin | Pharmacy Technician | 120 W Washington St, Millstadt, IL 62260-1156 | 2020-06-22 |
| Find all providers in zip 62260 | ||||
| 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 |
|---|---|---|---|---|
| 1033465042 | Matthew Kelly | Dentist | 9 E Van Buren St, Millstadt, IL 62260-2009 | 2012-07-27 |
| 1144625773 | Matthew J. Kelly, Dds, LLC | Dentist | 9 E Van Buren St, Millstadt, IL 62260-2009 | 2014-10-24 |
| 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 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| 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.