MEDA DENTAL II LLC (NPI# 1215548771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215548771 |
| Entity Type | Organization |
| Organization Name | MEDA DENTAL II LLC |
| Practice Address |
2735 Hassert Blvd Ste 159 Naperville IL 60564-5205 |
| Practice Telephone | 6303524141 |
| Practice Fax Number | 6303524430 |
| Mailing Telephone | 6303524141 |
| Mailing Fax Number | 6303524430 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | SATHYA MEDA NAGA (OWNER) |
| Authorized Official Telephone | 6303292525 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
2735 HASSERT BLVD STE 159 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60564-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215598842 | Jennifer A Mcgill | Speech-Language Pathologist | Sovereign Pediatric Therapy, 1315 Macom Dr #103, Naperville, IL 60564 | 2019-06-25 |
| 1083187660 | Erin Michelle Hankins | Counselor | 2132 Deep Water Lane, Suite # 240, Naperville, IL 60564 | 2019-01-07 |
| 1851873905 | Helen A Bruckner | Student in an Organized Health Care Education/Training Program | 28w154 Country View Dr., Naperville, IL 60564 | 2018-09-05 |
| 1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
| 1831608397 | Courtney Srum | Speech-Language Pathologist | Graham Elementary School 2315 High Meadow Rd., Naperville, IL 60564 | 2017-09-27 |
| 1447707880 | Isabel Betancourt | Registered Nurse | 1315 Macom Dr Ste 5, Naperville, IL 60564 | 2016-09-01 |
| 1134577802 | Rosa Maria Felix-jones | Massage Therapist | 3420 Lacrosse, Suite 100, Unit 2 & 3, Naperville, IL 60564 | 2016-06-02 |
| 1245618412 | Ian E Evans | Counselor | 2948 Artesian Rd., Suite 112, Naperville, IL 60564 | 2015-05-08 |
| 1093114498 | Sovereign Rehab | Clinic/Center | 1315 Macom Dr. Suite 103, Naperville, IL 60564 | 2014-08-21 |
| 1154745891 | Antonina Rosaria Sullivan | Occupational Therapist | 10350 Brenner Ct, Naperville, IL 60564 | 2014-02-18 |
| Find all providers in zip 60564 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087375 | Naperville Smiles Dental | Clinic/Center | 8 W Gartner Rd Ste 124, Naperville, IL 60540-7549 | 2020-09-09 |
| 1538683602 | Cap Dental Care, P.C. | Clinic/Center | 555 N Washington St, Naperville, IL 60563-3162 | 2017-08-01 |
| 1962837047 | Naperville Oral Surgery, LLC | Clinic/Center | 605 S Washington St, Naperville, IL 60540-6643 | 2013-09-09 |
| 1598040131 | Plainfield Naperville Dental Center What | Clinic/Center | 2547 Plainfield Naperville Rd, Suite 124, Naperville, IL 60564-8909 | 2011-10-14 |
| 1831409762 | Sherman Oaks Dental Center LLC | Clinic/Center | 1100 Sherman Ave, Suite 103, Naperville, IL 60563-8608 | 2010-10-13 |
| 1215109160 | Nowell E. Blecha Ltd Dds | Clinic/Center | 10 W Martin Ave, Suite 164, Naperville, IL 60540-6535 | 2008-04-01 |
| 1811063662 | Gentle Family Dentisty of Naperville | Clinic/Center | 10 E Benton Ave, Naperville, IL 60540 | 2006-11-24 |
| 1265505770 | Raymond J. Mcmullen, Dds, Ltd | Clinic/Center | 2547 Plainfield Naperville Rd, Suite 104, Naperville, IL 60564-8909 | 2006-11-15 |
| 1992894216 | F Farokain Dds PC | Clinic/Center | 2603 S Washington St, Suite 100, Naperville, IL 60565-6370 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629514 | Chicago Pediatric Dentistry and Orthodontics | Clinic/Center | 1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734 | 2020-11-03 |
| 1437750031 | Secure Dental Xi | Clinic/Center | 1843 W Golf Rd, Schaumburg, IL 60194-1148 | 2020-11-02 |
| 1780283267 | Jenna Gaw, Dds, Pllc | Clinic/Center | 1724 Locust Pl Apt 303, Schaumburg, IL 60173-4239 | 2020-10-26 |
| 1740889344 | Nsp Dental LLC | Clinic/Center | 1900 Hollister Dr Ste 190, Libertyville, IL 60048-5283 | 2020-10-23 |
| 1285232827 | Paul Doodes Dds Phd PC | Clinic/Center | 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137-6282 | 2020-10-15 |
| 1780290676 | Great Smile Dental Pllc | Clinic/Center | 720 Osterman Ave Ste 304, Deerfield, IL 60015-4339 | 2020-09-16 |
| 1649883364 | Mark J Maly Estate | Clinic/Center | 103 S Main St # Po, Orangeville, IL 61060-9244 | 2020-08-24 |
| 1760094718 | Stoffel and Tomazin Dental Associates, Ltd | Clinic/Center | 5718 W 35th St, Cicero, IL 60804-4222 | 2020-08-20 |
| 1033729090 | Thomas Lim Orthodontics Ltd | Clinic/Center | 1015 Waukegan Rd, Northbrook, IL 60062-3717 | 2020-08-05 |
| 1003425125 | Dental Smiles of Bolingbrook | Clinic/Center | 495 S Weber Rd, Bolingbrook, IL 60490-5504 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | NAPERVILLE |
| Zip Code | 60564 |
Please comment or provide details below to improve the information on MEDA DENTAL II LLC.
| 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.