IGOR SULIM JR. (NPI# 1316415086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316415086 |
| Entity Type | Individual |
| Full Name | IGOR SULIM JR. |
| Credential | DDS |
| Practice Address |
2300 W Good Hope Rd Unit 337 Glendale WI 53209-2749 |
| Practice Telephone | 4146302236 |
| Mailing Telephone | 4146302236 |
| Enumeration Date | 2018-11-10 |
| Last Update Date | 2018-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1001926 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952473159 | Igor Sulim | Dentist | 5875 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124-6502 | 2006-11-14 |
| Street Address |
2300 W GOOD HOPE RD UNIT 337 |
| City | GLENDALE |
| State | WI |
| Zip Code | 53209-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412935 | Mana Khajavi | Dentist | 333 Milford St Unit 105, Glendale, CA 91203-2080 | 2020-09-15 |
| 1538783360 | Madison Kurz | Dentist | 5757 W Thunderbird Rd Ste W300, Glendale, AZ 85306-5605 | 2020-06-08 |
| 1770107252 | Garabedian Dental Group Inc | Dentist | 1055 Ruberta Ave Apt 1, Glendale, CA 91201-2195 | 2020-06-01 |
| 1447806997 | Tamarra Kalamchi | Dentist | 7071 N 138th Ave Bldg 1540, Glendale, AZ 85307-2006 | 2019-08-12 |
| 1073177820 | Arakelyan Professional Dental Inc | Dentist | 617 E Colorado St, Glendale, CA 91205-1709 | 2019-04-26 |
| 1518434869 | Dentists of North Glendale, LLP | Dentist | 5890 W Bell Rd Ste 102, Glendale, AZ 85308-3884 | 2018-10-25 |
| 1245705888 | Anahid Acopian Dds, Inc. | Dentist | 1122 N Brand Blvd Ste 202, Glendale, CA 91202-2573 | 2018-10-10 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1821586249 | Angineh Hovasapian | Dentist | 461 W California Ave Apt 8, Glendale, CA 91203-2183 | 2018-05-01 |
| 1295230738 | Jennifer Herbert Dental Corporation | Dentist | 3900 San Fernando Rd Unit 1017a, Glendale, CA 91204-2858 | 2018-03-27 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on IGOR SULIM JR..
| 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.