DR. KEITH MELLOVITZ (NPI# 1205902194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205902194 |
| Entity Type | Individual |
| Full Name | DR. KEITH MELLOVITZ |
| Credential | DDS |
| Practice Address |
1893 Sheridan Rd Suite 318 Highland Park IL 60035 |
| Mailing Address |
1893 Sheridan Road Suite 318 Highland Park IL 60035 |
| Practice Telephone | 8474339350 |
| Practice Fax Number | 8474339355 |
| Mailing Telephone | 8474339350 |
| Mailing Fax Number | 8474339355 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2018-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | A17241 | IL | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
019.017241 | IL | Dental Providers |
| Street Address |
1893 SHERIDAN RD SUITE 318 |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154320042 | Lauren K Jacker | Psychiatry & Neurology | 1893 Sheridan Rd, #303, Highland Park, IL 60035-2628 | 2005-07-21 |
| 1841786464 | Cindy Robinson | Counselor | 1893 Sheridan Rd, Highland Park, IL 60035-2628 | 2018-07-06 |
| 1487044335 | Lauren Jacker Md LLC | Psychiatry & Neurology | 1893 Sheridan Rd, Suite 303, Highland Park, IL 60035-2628 | 2015-01-30 |
| 1912283730 | Highland Park Oms | Dentist | 1893 Sheridan Rd, Suite 311, Highland Park, IL 60035-2628 | 2011-10-25 |
| 1417198169 | Randal A. Knudson Dds PC | Dentist | 1893 Sheridan Rd, Suite 315, Highland Park, IL 60035-2628 | 2009-03-10 |
| 1699949958 | David Smyth | Dentist | 1893 Sheridan Rd, Suite 301, Highland Park, IL 60035-2628 | 2008-04-17 |
| 1548481872 | Jan Brenner | Speech-Language Pathologist | 1893 Sheridan Rd, Suite Number 303, Highland Park, IL 60035-2628 | 2007-05-02 |
| 1851518468 | Wendy C Abrams | Speech-Language Pathologist | 1893 Sheridan Rd, Suite 303, Highland Park, IL 60035-2628 | 2007-04-18 |
| 1245352442 | Steven Craig Sommerfeld | Dentist | 1893 Sheridan Rd, Suite 309, Highland Park, IL 60035-2628 | 2007-04-06 |
| 1295859874 | Stephen Terence Herczeg | Psychologist | 1893 Sheridan Rd, 302, Highland Park, IL 60035-2628 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| 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 |
|---|---|---|---|---|
| 1316399553 | Jody Zalkin | Dentist | 1897 Clavey Rd, Highland Park, IL 60035-4373 | 2016-07-12 |
| 1003214057 | Joan P Goldstein D.d.s.,p.c. | Dentist | 1032 Deerfield Rd, Highland Park, IL 60035-3578 | 2014-12-08 |
| 1063837987 | Lloyd Sigman | Dentist | 1770 1st St Ste 410, Highland Park, IL 60035-3237 | 2014-02-28 |
| 1588835946 | Donald L Hoffman Dds Phd Ltd | Dentist | 1160 Park Avenue West #2-s, Highland Park, IL 60035 | 2008-03-13 |
| 1194934257 | Jerald Blum | Dentist | 729 Raritan Avenue, Highland Park, NJ 08904 | 2007-05-22 |
| 1417172669 | Joel L. Sanders | Dentist | 489 Laurel Ave, Highland Park, IL 60035-2652 | 2007-04-14 |
| 1073683561 | Estes Boshes | Dentist | 1888 Sheridan Rd, Highland Park, IL 60035 | 2006-11-09 |
| 1821199829 | Stephen Forrest Salinger | Dentist | 1950 Sheridan Rd #104, Highland Park, IL 60035 | 2006-09-25 |
| 1184737603 | Ronald Anthony Livingston | Dentist | 13724 Woodward Ave, Highland Park, MI 48203-3625 | 2006-08-17 |
| 1831101146 | Ted John Piotrowski | Dentist | 1855 Deerfield Rd, Ste G, Highland Park, IL 60035-3750 | 2006-08-13 |
| Find all providers in HIGHLAND PARK | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
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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.