LAKEMOOR DENTAL (NPI# 1356719603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356719603 |
| Entity Type | Organization |
| Organization Name | LAKEMOOR DENTAL |
| Practice Address |
28956 W. Rt 120 Lakemoor IL 60051 |
| Practice Telephone | 8153638888 |
| Practice Fax Number | 8153638890 |
| Mailing Telephone | 8153638888 |
| Mailing Fax Number | 8153638890 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |
| Authorized Official Name | DR. SIMA R PATEL (DENTIST) |
| Authorized Official Telephone | 8153638888 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019023300 | IL | Dental Providers |
| Street Address |
28956 W. RT 120 |
| City | LAKEMOOR |
| State | IL |
| Zip Code | 60051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275199051 | Vernon Dental Care | Dentist | 125 E. Townline Road, Vernon Hills, IL 60051 | 2019-05-16 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1699975409 | Sima Patel | Dentist | 28956 W State Route 120, Lakemoor, IL 60051-2215 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629076 | Align Dental Group PC. | Dentist | 2605 Grand Ave Ste A, Waukegan, IL 60085-2410 | 2020-11-06 |
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1982201505 | Ashley Rodriguez | Dentist | 2208 N Mannheim Rd, Melrose Park, IL 60164-1837 | 2020-10-06 |
| 1831796853 | Shaista Hasan | Dentist | 1840 Harvest Ln, Glendale Heights, IL 60139-1939 | 2020-10-02 |
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1477160190 | Smilesbysangha LLC | Dentist | 118 Barrington Commons Ct Ste 201, Barrington, IL 60010-3259 | 2020-09-27 |
| 1477160331 | Samer Mosoof | Dentist | 9 Monroe Ct, Streamwood, IL 60107-1365 | 2020-09-24 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1275145534 | Moondrift Sleep Solutions, LLC | Dentist | 837 N Wilke Rd, Arlington Heights, IL 60005-1047 | 2020-08-18 |
| 1023629664 | Mockunas Dental PC | Dentist | 13530 S Route 59 Unit 120, Plainfield, IL 60544-5659 | 2020-08-16 |
| Find all providers with the same taxonomy | ||||
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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.