PRO DENTAL CARE LTD (NPI# 1306055058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306055058 |
| Entity Type | Organization |
| Organization Name | PRO DENTAL CARE LTD |
| Practice Address |
300 S Randall Rd Elgin IL 60123-5525 |
| Practice Telephone | 6308830200 |
| Mailing Telephone | 6308830200 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | MR. RICK S BRAR (PRESIDENT/OWNER) |
| Authorized Official Telephone | 6308830200 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019021499 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093291411 | Pro Dental Care Ltd | Clinic/Center | 1053 Main Street, Sleepy Hollow, IL 60118 | 2018-07-18 |
| Street Address |
300 S RANDALL RD |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578585360 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 300 S Randall Rd, Elgin, IL 60123-5525 | 2006-07-24 |
| 1932576188 | Dewaa Ali | Pharmacist | 300 S Randall Rd, Elgin, IL 60123-5525 | 2015-08-24 |
| 1063707362 | Julie Rasmussen | Pharmacist | 300 S Randall Rd, Elgin, IL 60123-5525 | 2011-06-14 |
| 1558655530 | David Alan Anderson | Pharmacist | 300 S Randall Rd, Elgin, IL 60123-5525 | 2011-06-07 |
| 1215221338 | Michael Toma | Pharmacist | 300 S Randall Rd, T-0834, Elgin, IL 60123-5525 | 2011-06-06 |
| 1285848648 | Rick S Brar | Dentist | 300 S Randall Rd, Elgin, IL 60123-5525 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| 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 |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801351192 | Elgin Cube Smiles Pllc | Dentist | 910 Lee Dildy Blvd #260, Elgin, TX 78621 | 2019-01-31 |
| 1811415920 | Kimberly Trinh | Dentist | 2050 Larkin Ave Ste 100, Elgin, IL 60123-5888 | 2017-09-08 |
| 1275069932 | Feels Like Family Dentistry | Dentist | 100 Pontiac Business Center Dr Ste C, Elgin, SC 29045-9171 | 2017-05-02 |
| 1780059063 | Yousaf Ahmad Dds LLC | Dentist | 2415 Bowes Rd, Suite #110, Elgin, IL 60123-5535 | 2015-12-11 |
| 1053675173 | Megha Bassi | Dentist | 910 W 11th St, Suite 260, Elgin, TX 78621-2042 | 2012-07-03 |
| 1124382288 | Two Rivers Dental PC | Dentist | 247 Dundee Ave, Elgin, IL 60120-4235 | 2012-07-03 |
| 1972865491 | Yousaf Hasan Ahmad | Dentist | 2415 Bowes Rd Ste 110, Elgin, IL 60123-5535 | 2012-06-11 |
| 1659650893 | Elgin Family Dentistry | Dentist | 124 2nd Ave Se, Elgin, MN 55932-9732 | 2011-08-05 |
| 1205169182 | Fortress Dental Corporation | Dentist | 1350 E. Chicago St, Suite 4, Elgin, IL 60120 | 2009-09-10 |
| Find all providers in ELGIN | ||||
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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.