VALLEY DENTAL CARE OF PLAINFIELD (NPI# 1447572003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447572003 |
| Entity Type | Organization |
| Organization Name | VALLEY DENTAL CARE OF PLAINFIELD |
| Practice Address |
2356 S Route 59 Plainfield IL 60586-7756 |
| Mailing Address |
3405 Orchard Rd Oswego IL 60543-5005 |
| Practice Telephone | 6304366800 |
| Mailing Telephone | 6305517000 |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |
| Authorized Official Name | DR. SAMANTHA KOTHAPALLI (OWNER) |
| Authorized Official Telephone | 6308036431 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019026612 | IL | Dental Providers |
| Street Address |
2356 S ROUTE 59 |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60586-7756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336658434 | Brigitte L Oetter | Social Worker | 6106 Pheasant Ridge Dr, Plainfield, IL 60586 | 2017-09-21 |
| 1851730717 | Michelle Sanchez Doersam | Physician Assistant | 16519 S. Route 59, Plainfield, IL 60586 | 2013-06-24 |
| 1295059665 | Joni Deanne Gruen | Physical Therapy Assistant | 2612 Discovery Dr., Plainfield, IL 60586 | 2010-03-15 |
| 1225229453 | James G Kulekowskis Jr. | Pharmacist | 16146 S Arbor Drive, Plainfield, IL 60586 | 2007-08-05 |
| 1346363355 | Beth Ann Boss | Speech-Language Pathologist | 16504 Mueller Cir., Plainfield, IL 60586 | 2007-04-06 |
| 1457457830 | Edward J Bruno | Radiology | 333 N Madison, Joliet, IL 60586 | 2006-09-15 |
| 1497850044 | Rachel Z Mika | Physical Therapist | 6619 Mountain Ridge Pass, Plainfield, IL 60586 | 2006-09-14 |
| 1427060888 | Neil R Fried | Podiatrist | 15921 Hometown Dr, Plainfield, IL 60586 | 2006-08-13 |
| 1497701924 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2480 S Route 59, Plainfield, IL 60586 | 2006-05-26 |
| 1164473609 | Women's Center for Health L P | Obstetrics & Gynecology | 15900 S Frederick St, Plainfield, IL 60586 | 2006-05-12 |
| Find all providers in zip 60586 | ||||
| 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 |
|---|---|---|---|---|
| 1437696044 | Zheng Ma, Dmd, PC | Dentist | 7156 Caton Farm Rd, Suite I, Plainfield, IL 60586-1695 | 2017-01-21 |
| 1659821312 | Illinois Dental Providers, P. C. | Dentist | 12720 S Route 59, Suite 200, Plainfield, IL 60585-5505 | 2016-10-06 |
| 1447706189 | Kestler and Jarus D.d.s. Pa | Dentist | 308 E Front St, Plainfield, NJ 07060-1321 | 2016-09-01 |
| 1568917508 | Dental Shine II P.c | Dentist | 11830 S Route 59, Suite 110, Plainfield, IL 60585-5894 | 2016-08-19 |
| 1255702478 | Dental Professionals of Indiana, PC | Dentist | 2455 E. Main St., Suite 104, Plainfield, IN 46168 | 2015-10-14 |
| 1093120917 | Simona Ziliute | Dentist | 13621 S Route 59 Unit 103, Plainfield, IL 60544-9701 | 2014-06-30 |
| 1013336445 | Heritage Grove Family Dental P.C. | Dentist | 12426 S Van Dyke Rd, Unit B, Plainfield, IL 60585-2700 | 2014-04-14 |
| 1518212455 | Manik Mohan | Dentist | 721 Norwich Rd, Plainfield, CT 06374-1734 | 2012-07-17 |
| 1851603385 | Erin Rake | Dentist | 167 N Dan Jones Rd, Plainfield, IN 46168-1874 | 2010-07-13 |
| 1154656775 | Maupin Family Dentistry | Dentist | 1070 West Main Street Suite 151, Plainfield, IN 46168-9704 | 2009-10-15 |
| Find all providers in PLAINFIELD | ||||
| City | PLAINFIELD |
| Zip Code | 60586 |
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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.