DR. BRIAN ANDREW PRENTICE (NPI# 1265442073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265442073 |
| Entity Type | Individual |
| Full Name | DR. BRIAN ANDREW PRENTICE |
| Credential | DDS |
| Practice Address |
120 Oakbrook Ctr Ste 318 Oak Brook IL 60523-4723 |
| Mailing Address |
7501 Lemont Rd Ste 300 Woodridge IL 60517-2681 |
| Practice Telephone | 6302181920 |
| Practice Fax Number | 8157447059 |
| Mailing Telephone | 6303245369 |
| Mailing Fax Number | 8157447059 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2018-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019.031399 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SKOKIE SVC LOCATION | 1760882005 | 01 | |
| RAILROAD PTAN | P01931253 | 01 | |
| CHICAGO SVC LOCATION | 1508198474 | 01 | |
| SHOREWOOD SVC LOCATION | 1205145554 | 01 | |
| OAKBROOK SVC LOCATION | 1306177241 | 01 | |
| BARRINGTON SVC LOCATION | 1295165439 | 01 | |
| MEDICARE PART B PTAN | F400420356 | 01 | |
| MEDICARE PART B PTAN | F400420355 | 01 |
| Street Address |
120 OAKBROOK CTR STE 318 |
| City | OAK BROOK |
| State | IL |
| Zip Code | 60523-4723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358630 | Jennifer Renee Earnest | Counselor | 2526 Butterfield Road, Suite 138s, Oakbrook, IL 60523 | 2020-02-12 |
| 1881244614 | Meredith Elise Osborne | Pain Medicine | Joint Relief Institute, 600 22nd Street, Oak Brook, IL 60523 | 2019-09-13 |
| 1811450349 | Jessica A Kras | Physical Therapist | 2011 York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1356804876 | Derek M Jones | Physical Therapist | 2011 N. York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1013439975 | Lydia Schatzel | Counselor | 1520 Kensington Rd Ste 212, Oak Brook, IL 60523 | 2017-07-12 |
| 1821537358 | The Anxiety Treatment Center - Western Suburbs, LLC | Counselor | 1100 Jorie Blvd, 227, Oak Brook, IL 60523 | 2017-02-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1154877850 | Sandhya Jayaram Shetty | Specialist/Technologist, Other | 1420 Kensington Rd., 201, Oak Brook, IL 60523 | 2016-09-01 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1851753636 | Pallan Primary Care Ltd S C | Family Medicine | 2425 W 22nd St Ste 211, Oak Brook, IL 60523 | 2016-03-22 |
| Find all providers in zip 60523 | ||||
| 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 |
|---|---|---|---|---|
| 1447554639 | Aimee Lynn Kouris | Dentist | 2000 Spring Rd Ste 502, Oak Brook, IL 60523-1873 | 2011-01-02 |
| 1104974633 | Paulina N. Brzozowski-sawicki | Dentist | 120 Oakbrook Ctr Ste 812, Oak Brook, IL 60523-4758 | 2007-01-08 |
| 1255393773 | Manish R Gandhi | Dentist | 716 Midwest Club Pkwy, Oak Brook, IL 60523-2531 | 2006-04-03 |
| 1306177241 | Dental Sleep Center Richard A Craig Dds Ltd | Dentist | 120 Oakbrook Ctr, Suite 318, Oak Brook, IL 60523-1806 | 2010-01-15 |
| 1356578140 | Acdi Glenview,llc. | Dentist | 2000 Spring Rd, 600, Oak Brook, IL 60523-1804 | 2009-06-18 |
| 1699911271 | Oak Brook Dental Associates | Dentist | 2208 Midwest Rd, Oak Brook, IL 60523-1277 | 2009-01-02 |
| 1457503245 | Hut Dental Associates | Dentist | 120 Oak Brook Center Mall, Suite 625, Oak Brook, IL 60523-1806 | 2008-10-13 |
| 1942462247 | Rose S. Beicos | Dentist | 1200 Harger Rd, 820, Oak Brook, IL 60523-1805 | 2008-06-27 |
| 1154597813 | Acdi - Oak Brook, LLC. | Dentist | 2000 Spring Rd, Suite #600, Oak Brook, IL 60523-1804 | 2008-05-02 |
| 1013187160 | Smile Bright Dental Corp. | Dentist | 2021 Midwest Rd, Suite 200, Oak Brook, IL 60523-1342 | 2008-03-05 |
| Find all providers in OAK BROOK | ||||
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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.