WILLOW RIDGE DENTAL GROUP LLC (NPI# 1215206842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215206842 |
| Entity Type | Organization |
| Organization Name | WILLOW RIDGE DENTAL GROUP LLC |
| Practice Address |
720 Brom Ct Suite 105 Naperville IL 60540-6531 |
| Practice Telephone | 6304202800 |
| Mailing Telephone | 6304202800 |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |
| Authorized Official Name | DR. JEFFREY RICHARD ONIK (MEMBER) |
| Authorized Official Telephone | 6304202800 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
720 BROM CT SUITE 105 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-6531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439234 | Colleen J Noonan | Family Medicine | 720 Brom Ct, Ste 203, Naperville, IL 60540-6531 | 2005-10-05 |
| 1255605580 | Michael J Karakourtis Dds Ltd. | Oral & Maxillofacial Surgery | 720 Brom Ct, Suite 103, Naperville, IL 60540-6595 | 2012-03-05 |
| 1114291895 | Donna D Van Dam | Advanced Practice Midwife | 720 Brom Ct, Suite 104, Naperville, IL 60540-6531 | 2012-02-28 |
| 1780957654 | Dr. Mary Deherrera-codo Md PC | Internal Medicine | 720 Brom Ct, Suit 204, Naperville, IL 60540-6531 | 2012-02-22 |
| 1063722379 | Rondinelli Nutrition Consulting, LLC | Dietitian, Registered | 720 Brom Ct, Naperville, IL 60540-6531 | 2010-10-20 |
| 1861663692 | Falguni Vasa Md Sc | Internal Medicine | 720 Brom Ct, Suite 204, Naperville, IL 60540-6531 | 2008-03-19 |
| 1861671372 | Naperville Family Practice Inc | Clinic/Center | 720 Brom Ct, 101, Naperville, IL 60540-6531 | 2007-10-31 |
| 1134248131 | Meghan M Flannery | Obstetrics & Gynecology | 720 Brom Ct, S-104, Naperville, IL 60540-6531 | 2007-03-29 |
| 1184741951 | Falguni R Vasa | Internal Medicine | 720 Brom Ct, Suite 204, Naperville, IL 60540-6531 | 2007-03-24 |
| 1629109293 | Michael G Peske | Dentist | 720 Brom Ct, Suite 201, Naperville, IL 60540-6531 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1023631611 | Conor Patrick Ryan | Dentist | 1852 Bay Scott Cir Ste 108, Naperville, IL 60540-1134 | 2020-05-18 |
| 1629614698 | Ashton Dental PC | Dentist | 1767 W Ogden Ave Ste 123, Naperville, IL 60540-3956 | 2019-11-25 |
| 1396390340 | Lina Hamdan | Dentist | 603 Arlington Ave, Naperville, IL 60565-3399 | 2019-08-06 |
| 1376050245 | Zieba Dentistry Naperville, Ltd | Dentist | 24w500 Maple Ave Ste 218, Naperville, IL 60540-6057 | 2018-01-02 |
| 1811413719 | Cap Dental Care P.C. | Dentist | 555 N Washington St., Naperville, IL 60563 | 2017-08-22 |
| 1366991655 | Valley View Dental - Naperville P.C. | Dentist | 3103 111th St Ste 131, Naperville, IL 60564-5068 | 2016-09-27 |
| 1790149631 | Stephanie Cravens | Dentist | 2776 Forgue Dr, Suite 106, Naperville, IL 60564-4175 | 2016-04-06 |
| 1457744963 | Sun Dental Care PC | Dentist | 572 Weston Ridge Dr, Suite# 120, Naperville, IL 60563-4109 | 2015-03-07 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
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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.