GRACE DENTAL P.C, (NPI# 1164790200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164790200 |
Entity Type | Organization |
Organization Name | GRACE DENTAL P.C, |
Practice Address |
5437 Swan Cir Hoffman Estates IL 60192-4618 |
Practice Telephone | 8476500260 |
Enumeration Date | 2011-12-04 |
Last Update Date | 2011-12-04 |
Authorized Official Name | DR. LISA YUJIN LEE (CO-PRESIDENT) |
Authorized Official Telephone | 8476500260 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
019-028193 | IL | Dental Providers |
Y | 1223G0001X |
Dentist Specialization: General Practice |
019-026114 | IL | Dental Providers |
Street Address |
5437 SWAN CIR |
City | HOFFMAN ESTATES |
State | IL |
Zip Code | 60192-4618 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205202009 | Premier Health Consultants Inc | Internal Medicine | 2815 Forbs Avenue Suite 107, Hoffman Estates, IL 60192 | 2015-08-15 |
1235536350 | Naomi Lockett | Nurse Practitioner | 2815 Forbs Ave Ste 134, Hoffman, IL 60192 | 2014-12-04 |
1548693229 | Kathryn Kmiecik | Counselor | 1595 Chesapeake Drive, Hoffman Estates, IL 60192 | 2013-08-16 |
1184919508 | James Lassiter Quertermous | Dermatology | 4885 Hoffman Blvd Ste 407, Hoffman Estates, IL 60192 | 2011-06-14 |
1760692347 | Alan S Panares | Specialist/Technologist, Other | 1245 Mallard Ln, Hoffman Estates, IL 60192 | 2007-05-23 |
1518172576 | William John Becker | Dentist | 2630 New Sutton Rd, Hoffman Estates, IL 60192 | 2007-05-13 |
1144384306 | Kenneth L Kite | Dentist | 1722 W Algonquin Road, Hoffman Estates, IL 60192 | 2006-12-21 |
1760577142 | Elizabeth A. Doyle | Counselor | 3530 Winston Drive, Hoffman Estates, IL 60192 | 2006-10-03 |
1558317230 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1489 Palatine Rd, Hoffman Estates, IL 60192 | 2006-05-25 |
1659517704 | Merit Center for Sleep Health of Prairie Stone, LLC | Clinic/Center | 4885 Hoffman Blvd, Suite 450, Hoffman Estates, IL 60192 | 2008-12-19 |
Find all providers in zip 60192 |
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 |
---|---|---|---|---|
1053796466 | Michael A Lovda Jr. | Dentist | 1644 W Algonquin Rd, Hoffman Estates, IL 60192-1587 | 2015-07-27 |
1790171023 | Medcoa Dental Center PC | Dentist | 1000 Grand Canyon Parkway #308, Hoffman Estates, IL 60169-1705 | 2015-04-14 |
1699170050 | Farah Tazeen Khatoon | Dentist | 261 W Berkley Ln, Hoffman Estates, IL 60169-1842 | 2014-10-28 |
1144515958 | Ankur Navin Patel | Dentist | 1453 Palatine Rd, Hoffman Estates, IL 60192-1196 | 2011-06-09 |
1215226717 | Ashlie Petrilli | Dentist | 1585 Barrington Rd Ste 205, Hoffman Estates, IL 60169-5034 | 2011-04-05 |
1740451301 | Laura Ann Hillestad | Dentist | 1566 W Algonquin Rd # 146, Hoffman Estates, IL 60192-1575 | 2008-03-21 |
1669666418 | Frank A Zorrilla | Dentist | 2200 W Higgins Rd Ste 335, Hoffman Estates, IL 60169-2484 | 2007-09-04 |
1124147988 | Hayong Cho | Dentist | 990 Grand Canyon Pky, Hoffman Estates, IL 60194 | 2007-03-29 |
1619015062 | Eun Y So | Dentist | 1000 Grand Canyon Pkwy Ste 308, Hoffman Estates, IL 60194-1732 | 2007-02-01 |
1417022757 | Lars A Johnson | Dentist | 1722 W Algonquin Rd, Hoffman Estates, IL 60192-1573 | 2006-11-21 |
Find all providers in HOFFMAN ESTATES |
City | HOFFMAN ESTATES |
Zip Code | 60192 |
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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.