GARRETT DAVID OBENAUF


Address: 1109 W Park Ave, Libertyville, IL 60048-2552
Phone: 8473671133

GARRETT DAVID OBENAUF (NPI# 1356969257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356969257
Entity Type Individual
Full Name GARRETT DAVID OBENAUF
Credential DMD
Practice Address 1109 W Park Ave
Libertyville
IL 60048-2552
Mailing Address 998 Castlewood Ct
Gurnee
IL 60031-4106
Practice Telephone 8473671133
Enumeration Date 2020-07-08
Last Update Date 2020-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 019032778 IL Dental Providers

Office Location

Street Address 1109 W PARK AVE
City LIBERTYVILLE
State IL
Zip Code 60048-2552

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265728224 Dental Health and Beauty Dentist 1109 W Park Ave, Libertyville, IL 60048-2552 2011-06-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184119950 Park Avenue Dental Professionals, PC Dentist 1001 W. Park Avenue, Libertyville, IL 60048 2018-06-25
1437643525 Shanna Coyle Registered Nurse 1128 Jaimee Ln, Libertyville, IL 60048 2018-06-21
1366943672 Jackie Rayyan Behavior Technician 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 2018-02-22
1851804850 Mary E. Linsey Counselor 34180 Highway 45, Libertyville, IL 60048 2017-11-13
1962929018 Affinity Integrated Healthcare Chiropractor 736 Florsheim Dr, St 12, Libertyville, IL 60048 2017-08-29
1164946471 Christianna Patterson Speech-Language Pathologist 1870 W Winchester Rd #203, Libertyville, IL 60048 2017-07-28
1962938407 Kyle Winiger Specialist/Technologist 4551 West Gavin Lane, Libertyville, IL 60048 2017-05-03
1396291530 Karyn Kolner Physical Therapist 860 W Winchester Rd, #108, Libertyville, IL 60048 2016-08-28
1477900785 Medlogic LLC Clinic/Center 114 West Rockland Road, Suite 201, Libertyville, IL 60048 2016-05-17
1477926343 Robert Mcnulty Student in an Organized Health Care Education/Training Program 1313 Crane Blvd, Libertyville, IL 60048 2015-11-02
Find all providers in zip 60048

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114492576 Country Court Dental Care Dentist 1880 W Winchester Rd Ste 113, Libertyville, IL 60048-5321 2018-10-11
1639629645 Ala Dean Attar Dmd PC Dentist 712 Florsheim Dr, Suite # 12, Libertyville, IL 60048-5270 2016-10-13
1063763761 Linda M Sommercorn Dentist 1216 American Way Ste 104, Libertyville, IL 60048-3940 2012-09-21
1770795676 Stuart M Schwartz Dentist 611 S Milwaukee Ave, Libertyville, FL 60048 2007-05-04
1902999873 Diana Lacy Dentist 747 N Milwaukee Ave, Suite 103, Libertyville, IL 60048 2006-10-02
1003917915 Lisa Mostowfi Konz Dentist 747 N Milwaukee Ave Suite 103, Libertyville, IL 60048 2006-09-25
1851407647 Claude Charles Lerose Dentist 1900 Hollister Drive, Ste #190, Libertyville, IL 60048 2006-08-22
1689789745 Eleanor B Merrill Chudy Dentist 1655 N Milwaukee Ave, Libertyville, IL 60048-1314 2006-08-20
1952415903 David Cary Mcclenahan Dentist 755 South Milwaukee Avenue, Suite 120, Libertyville, IL 60048-3267 2006-08-18
1770506776 Evan B Goodman Dentist 115 W Maple Ave, Libertyville, IL 60048-2119 2006-07-25
Find all providers in LIBERTYVILLE

Competitor

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City LIBERTYVILLE
Zip Code 60048

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Dataset Information

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.

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