DUPAGE DENTAL PC (NPI# 1386736346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386736346 |
| Entity Type | Organization |
| Organization Name | DUPAGE DENTAL PC |
| Practice Address |
636 Raymond Dr 102 Naperville IL 60563 |
| Practice Telephone | 6305791600 |
| Practice Fax Number | 6305790022 |
| Mailing Telephone | 6305791600 |
| Mailing Fax Number | 6305790022 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TIMOTHY J NUGENT (PRESIDENT DENTIST OWNER) |
| Authorized Official Telephone | 6305791600 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| Street Address |
636 RAYMOND DR 102 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250642 | Sean Patrick Mccormick | Pediatrics | 636 Raymond Dr, Suite 205, Naperville, IL 60563-9789 | 2005-07-28 |
| 1528465614 | Melissa Mandra | Audiologist | 636 Raymond Dr, Suite 203, Naperville, IL 60563-9789 | 2014-12-04 |
| 1407269939 | Lauren Marie Panner | Registered Nurse | 636 Raymond Dr, Naperville, IL 60563-9791 | 2014-06-02 |
| 1740523539 | Jill Katherine Cotseones | Dermatology | 636 Raymond Dr, Naperville, IL 60563 | 2013-04-01 |
| 1285981167 | Elizabeth J Delass | Physical Therapist | 636 Raymond Dr, Suite 305, Naperville, IL 60563-9789 | 2012-08-09 |
| 1386991552 | Michaela Campagnolo | Physical Therapist | 636 Raymond Dr, Suite 305, Naperville, IL 60563-9789 | 2012-08-07 |
| 1720366636 | Lauren Nicole Taglia | Dermatology | 636 Raymond Dr, Naperville, IL 60563-9791 | 2011-07-26 |
| 1881972990 | Karen L Camporese | Physical Therapist | 636 Raymond Dr, Suite 104a, Naperville, IL 60563-9789 | 2011-07-25 |
| 1023304862 | Molly Purkart | Physical Therapist | 636 Raymond Dr, Suite 200, Naperville, IL 60563-9789 | 2011-06-20 |
| 1659675601 | Kimberly Anne Gubbins | Nurse Practitioner | 636 Raymond Dr, Suite 205, Naperville, IL 60563-9789 | 2011-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| 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 |
|---|---|---|---|---|
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1023631611 | Conor Patrick Ryan | Dentist | 1852 Bay Scott Cir Ste 108, Naperville, IL 60540-1134 | 2020-05-18 |
| 1629614698 | Ashton Dental PC | Dentist | 1767 W Ogden Ave Ste 123, Naperville, IL 60540-3956 | 2019-11-25 |
| 1396390340 | Lina Hamdan | Dentist | 603 Arlington Ave, Naperville, IL 60565-3399 | 2019-08-06 |
| 1376050245 | Zieba Dentistry Naperville, Ltd | Dentist | 24w500 Maple Ave Ste 218, Naperville, IL 60540-6057 | 2018-01-02 |
| 1811413719 | Cap Dental Care P.C. | Dentist | 555 N Washington St., Naperville, IL 60563 | 2017-08-22 |
| 1366991655 | Valley View Dental - Naperville P.C. | Dentist | 3103 111th St Ste 131, Naperville, IL 60564-5068 | 2016-09-27 |
| 1790149631 | Stephanie Cravens | Dentist | 2776 Forgue Dr, Suite 106, Naperville, IL 60564-4175 | 2016-04-06 |
| 1457744963 | Sun Dental Care PC | Dentist | 572 Weston Ridge Dr, Suite# 120, Naperville, IL 60563-4109 | 2015-03-07 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
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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.