OSWEGO DENTAL GROUP, LLC (NPI# 1174181770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174181770 |
| Entity Type | Organization |
| Organization Name | OSWEGO DENTAL GROUP, LLC |
| Practice Address |
4771 Route 71 Oswego IL 60543-7415 |
| Practice Telephone | 6305548600 |
| Mailing Telephone | 6305548600 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Authorized Official Name | KRISTEN DIXON (BUSINESS MANAGER) |
| Authorized Official Telephone | 6305548600 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
4771 ROUTE 71 |
| City | OSWEGO |
| State | IL |
| Zip Code | 60543-7415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687332 | Graceful Therapy, LLC | Marriage & Family Therapist | 2683 Route 34, Oswego, IL 60543 | 2018-07-30 |
| 1235669763 | Elizabeth Lassandrello Bremner | Counselor | 123 W. Washington St, Oswego, IL 60543 | 2017-06-18 |
| 1205365699 | The Wisdom Shuttle, Inc. | Non-emergency Medical Transport (VAN) | 234 Springbrook Trail South, Oswego, IL 60543 | 2017-06-08 |
| 1477003267 | Smart Choice Mri, LLC | Clinic/Center | 2752 Us Highway 34, Oswego, IL 60543 | 2016-10-05 |
| 1033588686 | George Pearah | Internal Medicine | 408 Sudbury Circle, Oswego, IL 60543 | 2015-09-24 |
| 1619375078 | Kathryn Elyse Fish | Marriage & Family Therapist | 123 W Washington St Ste B-08, Oswego, IL 60543 | 2014-12-16 |
| 1821410713 | Amanda Southwell | Social Worker | 512 Affirmed Dr, Oswego, IL 60543 | 2014-01-10 |
| 1073852158 | James A. Sandrolini | Surgery | 245 Gray's Dr., Oswego, IL 60543 | 2013-02-08 |
| 1649514035 | Kelly L Mangler | Pharmacist | 2030 Route 34, Oswego, IL 60543 | 2012-11-26 |
| 1730483280 | Little Talkers, Speech and Language Therapy, LLC | Speech-Language Pathologist | 809 Barton Drive, Oswego, IL 60543 | 2010-12-27 |
| Find all providers in zip 60543 | ||||
| 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 |
|---|---|---|---|---|
| 1669092177 | Dental Professionals of Illinois, P.C. | Dentist | 3419 Orchard Rd, Oswego, IL 60543-5005 | 2020-04-24 |
| 1548723596 | Arena Dental Associates, PC | Dentist | 63 W 2nd St, Oswego, NY 13126-1515 | 2019-04-08 |
| 1780113233 | Tam Huu Ngo | Dentist | 2484 Us Highway 30 Ste B101, Oswego, IL 60543-8974 | 2017-06-08 |
| 1386015808 | Brittany A Shubert | Dentist | 1016 Douglas Rd # A, Oswego, IL 60543-9865 | 2015-10-09 |
| 1346651577 | Dental Professionals of Illinois, P.C. | Dentist | 1490 Douglas Rd, Oswego, IL 60543-5106 | 2014-05-09 |
| 1275847204 | Oswego East Dental Associates | Dentist | 1768 Douglas Rd, Oswego, IL 60543 | 2010-08-02 |
| 1548591894 | Oswego Dental | Dentist | 2484 Route 30, Oswego, IL 60543 | 2010-01-27 |
| 1437302734 | Valley Dental Care LLP | Dentist | 3415 Orchard Rd, Oswego, IL 60543 | 2008-10-30 |
| 1194976209 | Fox River Dental | Dentist | 2968 Route 34, Oswego, IL 60543 | 2008-10-07 |
| 1104949346 | Douglas C Palmer | Dentist | 1991 Wiesbrook Rd, Oswego, IL 60543-8311 | 2007-04-10 |
| Find all providers in OSWEGO | ||||
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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.