ADVANCED DENTAL CARE (NPI# 1295182905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295182905 |
| Entity Type | Organization |
| Organization Name | ADVANCED DENTAL CARE |
| Practice Address |
125 Wedgewood Dr Columbia IL 62236-1052 |
| Practice Telephone | 6182819590 |
| Mailing Telephone | 6182819590 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |
| Authorized Official Name | MR. MARTIN JOSEPH CISNEROS (OWNER) |
| Authorized Official Telephone | 6182819590 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
019024628 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467987404 | Advanced Dental Care | Dentist | 950 W Stacy Rd, 150, Allen, TX 75013-9998 | 2017-04-27 |
| 1003366790 | Advanced Dental Care | Dentist | 388 Cambridge St, Burlington, MA 01803-1945 | 2016-10-06 |
| 1356647374 | Advanced Dental Care | Dentist | 965 E Columbus St, Kenton, OH 43326-1650 | 2011-02-09 |
| 1104152404 | Advanced Dental Care | Dentist | 3211 Wildwood Plantation Dr, Valdosta, GA 31605-1042 | 2009-10-22 |
| 1801186986 | Advanced Dental Care | Dentist | 2457 N Lincoln Ave, Chicago, IL 60614-8509 | 2011-04-11 |
| 1568694032 | Advanced Dental Care | Clinic/Center | 36 Bow St, Somerville, MA 02143-2934 | 2009-08-18 |
| 1922275718 | Advanced Dental Care | Dentist | 2 Executive Blvd Ofc 307, Suffern, NY 10901-4166 | 2008-05-12 |
| 1245433150 | Advanced Dental Care | Dentist | 532 S Oxford Valley Rd, Fairless Hills, PA 19030-2615 | 2007-06-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ADVANCED DENTAL CARE | 300 Sw Columbia St Ste 102, Bend, OR 97702 |
| Ohio Business Entities | ADVANCED DENTAL CARE & AESTHETICS - WALTERS | 4780 Clague Rd., North Olmsted, OH 44070 |
| New York State Corporations | ADVANCED DENTAL CARE OF WESTCHESTER, P.C. | 1329a North Ave, Ste 104, New Rochelle, New York 10804 |
| Virginia Business Entities | ADVANCED DENTAL CARE P.L.L.C. | 1707 Osage St Ste 402, Alexandria, Virginia 22302 |
| Massachusetts Corporations | ADVANCED DENTAL CARE, INC. | 642 Dexter St., Central Falls, RI 02863 |
| Iowa Business Entities | ADVANCED DENTAL CARE, P.C. | 2335 Blairsferry Road Ne, Cedar Rapids, IA 52402 |
| New York State Corporations | ADVANCED DENTAL CARE, PLLC | 2 Executive Blvd, Ste #304,307, Suffern, Ny 10901 |
| Street Address |
125 WEDGEWOOD DR |
| City | COLUMBIA |
| State | IL |
| Zip Code | 62236-1052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962937300 | Assoicated Physicians Group Ltd | Nurse Practitioner | 1011 South, Suite 3b, Columbia, IL 62236 | 2017-04-24 |
| 1316284854 | Robert Siekerka | Pharmacist | 1412 N Evergreen Ln, Columbia, IL 62236 | 2013-01-03 |
| 1972874352 | Jennifer Harlin Wilhelm | Veterinarian | 1400 Columbia Center Drive, Bellson Animal Hospital, Columbia, IL 62236 | 2012-01-18 |
| 1912275314 | Synergy Therapeutics, PC | Dentist | 1000 Eleven South, Suite 3f, Columbia, IL 62236 | 2011-12-13 |
| 1134455991 | Julie Williams | Skilled Nursing Facility | 3 Eagle Crest Court, Columbia, IL 62236 | 2009-10-28 |
| 1831311158 | Lifetime Dental Care of Illinois, PC | Dentist | 240 Southwoods Centre Drive, Columbia, IL 62236 | 2007-05-03 |
| 1730301268 | Affordable Dentistry Today, PC | Dentist | 242 Southwoods Centre Drive, Columbia, IL 62236 | 2007-05-03 |
| 1710109616 | Jason Clay King | Chiropractor | 117 West Cedar Street, Columbia, IL 62236 | 2007-05-02 |
| 1184704900 | Mitan Pediatric Therapy Inc | Occupational Therapist | 891 Meadowview Lane, Columbia, IL 62236 | 2006-10-16 |
| 1265528368 | Kathryn Ann Mager | Counselor | 9273 Coach Stop Road, Columbia, IL 62236 | 2006-10-05 |
| Find all providers in zip 62236 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444740 | Ressel Family Dentistry LLC | Clinic/Center | 1 E Broadway Ste A, Columbia, MO 65203-4205 | 2020-10-16 |
| 1578175733 | Columbia Dental LLC | Clinic/Center | 846 Lancaster Ave, Columbia, PA 17512-2206 | 2020-08-19 |
| 1386256931 | B. Casey Crafton Dds Ms PC | Clinic/Center | 10380 Old Columbia Rd, Columbia, MD 21046-1882 | 2020-08-17 |
| 1497307730 | Robert C Wilhite Jr Dds Pllc | Clinic/Center | 1300 Hatcher Ln Ste 1, Columbia, TN 38401-3554 | 2019-07-16 |
| 1609335066 | Dentistry for Children of Maryland, LLC | Clinic/Center | 8600 Snowden River Pkwy Ste 302, Columbia, MD 21045-1985 | 2019-03-15 |
| 1407314404 | Dental Wellness Center of Irmo, LLC | Clinic/Center | 2724 N Lake Dr Ste 304, Columbia, SC 29212-8733 | 2019-03-08 |
| 1386101459 | Columbia Dental Health Clinic | Clinic/Center | 2750 Laurel St Ste 202, Columbia, SC 29204-2024 | 2019-02-26 |
| 1821580622 | Columbia Smiles Downtown | Clinic/Center | 1310 Lady St Ste 600, Columbia, SC 29201-3327 | 2018-06-06 |
| 1427548353 | Simply Smile Pa | Clinic/Center | 7457 Patterson Rd Ste 107, Columbia, SC 29209-0710 | 2018-05-16 |
| 1477055481 | Southern Smiles Dental Studio Columbia LLC | Clinic/Center | 160 Summit Centre Dr, Columbia, SC 29229-7612 | 2018-03-06 |
| Find all providers in COLUMBIA | ||||
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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.