VERNON DENTAL CARE (NPI# 1275199051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275199051 |
| Entity Type | Organization |
| Organization Name | VERNON DENTAL CARE |
| Practice Address |
125 E. Townline Road Vernon Hills IL 60051 |
| Practice Telephone | 8473671890 |
| Practice Fax Number | 8479901087 |
| Mailing Telephone | 8473671890 |
| Mailing Fax Number | 8479901087 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Authorized Official Name | MRS. PRYIA BOINPALLY (OWNER) |
| Authorized Official Telephone | 8473674890 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
125 E. TOWNLINE ROAD |
| City | VERNON HILLS |
| State | IL |
| Zip Code | 60051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801313143 | Jordan Leigh Reif | Specialist/Technologist | 1409 Eastwood Lane, Mchenry, IL 60051 | 2017-08-28 |
| 1871049502 | Jessica Kitto | Social Worker | 3513 Oakdale Ave, Johnsburg, IL 60051 | 2016-09-01 |
| 1134578727 | Anna Marie Mackey | Social Worker | 2306 Edgewood Lane, Mchenry, IL 60051 | 2016-06-06 |
| 1174970289 | Linda Kalas | Social Worker | 1016 Steuben Rd, Mchenry, IL 60051 | 2016-05-18 |
| 1356719603 | Lakemoor Dental | Dentist | 28956 W. Rt 120, Lakemoor, IL 60051 | 2015-09-03 |
| 1386021335 | Stephanie Anderson | Social Worker | 424 Doe Lane, Lakemoor, IL 60051 | 2015-04-29 |
| 1316336134 | Rogner, P.C. | Speech-Language Pathologist | 4520 N Riverdale Drive, Johnsburg, IL 60051 | 2015-01-16 |
| 1225465305 | Christine M Swanson | Nurse Practitioner | 2704 Pueblo Drive, Mchenry, IL 60051 | 2013-10-03 |
| 1447382015 | Melissa Boger | Specialist/Technologist | 28088 W. Niagara Street, Lakemoor, IL 60051 | 2007-03-09 |
| 1588760458 | Clinical Practice Management, P.C. | Family Medicine | 4805 W. Prime Parkway, Mchenry, IL 60051 | 2006-09-16 |
| Find all providers in zip 60051 | ||||
| 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 |
|---|---|---|---|---|
| 1013530153 | Tatiana Nicole Skylar | Dentist | 125 W Townline Rd, Vernon Hills, IL 60061-1424 | 2020-05-23 |
| 1982123030 | Viktoriya Kushnir | Dentist | 1297 Georgetown Way, Vernon Hills, IL 60061-4125 | 2017-09-10 |
| 1205283165 | Dr. Tina Khoury, D.m.d., P.C. | Dentist | 50 Lakeview Pkwy Ste 120, Vernon Hills, IL 60061-1590 | 2016-05-20 |
| 1881839280 | Royal Dental | Dentist | 270 Center Dr Ste 110, Vernon Hills, IL 60061-1564 | 2008-12-13 |
| 1487774709 | Janice K Genovese | Dentist | 10 W Phillip Rd Ste 105, Vernon Hills, IL 60061-1730 | 2007-03-30 |
| 1659499697 | Steven Hoffenberg | Dentist | 264 Hawthorn Village Commons, Vernon Hills, IL 60061-1519 | 2007-03-27 |
| 1437205143 | William Ryan Kisker | Dentist | 701 N Milwaukee Ave, Suite 320, Vernon Hills, IL 60061-1556 | 2007-01-26 |
| 1942363676 | Scott D Brenner | Dentist | 50 Lakeview Pkwy, Suite 120, Vernon Hills, IL 60061-1589 | 2006-12-17 |
| 1881765626 | Kenneth A Holz Dds PC | Dentist | 1 E Phillip Rd Ste 103, Vernon Hills, IL 60061-1858 | 2006-11-13 |
| 1225107642 | Philip Villejo Goduco | Dentist | 281 Evergreen Dr, Vernon Hills, IL 60061-2905 | 2006-11-07 |
| Find all providers in VERNON HILLS | ||||
| City | VERNON HILLS |
| Zip Code | 60051 |
Please comment or provide details below to improve the information on VERNON DENTAL CARE.
| 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.