GLENDALE HEIGHTS DENTAL P.C. (NPI# 1447644828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447644828 |
| Entity Type | Organization |
| Organization Name | GLENDALE HEIGHTS DENTAL P.C. |
| Other Organization Name | GLENDALE HEIGHTS FAMILY DENTAL |
| Practice Address |
1177 Bloomingdale Rd Ste B Glendale Heights IL 60139-3402 |
| Practice Telephone | 6308666000 |
| Practice Fax Number | 6309492187 |
| Mailing Telephone | 6308666000 |
| Mailing Fax Number | 6309492187 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |
| Authorized Official Name | DR. BHUMIKA SHAH PATEL (PRESIDENT) |
| Authorized Official Telephone | 6308666000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019028336 | IL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Glendale Heights Family Dental | Doing Business As Name - Organization |
| Street Address |
1177 BLOOMINGDALE RD STE B |
| City | GLENDALE HEIGHTS |
| State | IL |
| Zip Code | 60139-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316465909 | Jonathan Rieckmann | Home Health Aide | 1187 Harbor Court, Glendale Heights, IL 60139 | 2017-09-02 |
| 1265968333 | Alpha Omega Caregivers, Inc | Home Health | 292 Paddock Cir, Glendale Heights, IL 60139 | 2017-05-10 |
| 1508305327 | Elizabeth Antosz | Emergency Medical Technician, Basic | 2234 Lake Ridge Drive, Glendale Heights, IL 60139 | 2017-02-13 |
| 1700274412 | Ivelisse Torres | Interpreter | 1579 Floyd Brown Ln, Glendale Heights, IL 60139 | 2015-01-05 |
| 1659786069 | Polpain Interventional Pain Management Center Ltd. | Clinic/Center | 2090 Gladstone Dr., Unit B, Glendale Heights, IL 60139 | 2014-06-24 |
| 1699100156 | Katarzyna M Lazarczuk | Physical Therapist | 2190 Gledstone Drive, Unit B, Glendale Heights, IL 60139 | 2013-09-03 |
| 1063754232 | Dental Heights Dds PC | Dentist | 148 East Army Trail Road, Glendale Heights, IL 60139 | 2013-03-26 |
| 1306077466 | Sarah Elizabeth Del Gallo | Physical Therapy Assistant | 875 Roosevelt Road, Glen Ellyn, IL 60139 | 2009-08-06 |
| 1275796088 | Joseph P Nguyen | Pharmacist | 2164 Bloomingdale Road, Glendale Heights, IL 60139 | 2008-07-02 |
| 1619159084 | Michael Paul Wagner | Chiropractor | 544e. North Ave, Glendale Heights, IL 60139 | 2007-11-28 |
| Find all providers in zip 60139 | ||||
| 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 |
|---|---|---|---|---|
| 1124389069 | Mohamed S Waheed | Dentist | 24 Dennison Dr, Glendale Heights, IL 60139-1875 | 2012-06-07 |
| 1447540927 | Cathy T. Nguyen | Dentist | 766 Fox Ave, Glendale Heights, IL 60139-2910 | 2011-04-18 |
| 1740486265 | Amit Pithva | Dentist | 1660 Glen Ellyn Rd, Glendale Heights, IL 60139-2504 | 2007-06-22 |
| 1124184049 | John Petrucci | Dentist | 328 E Army Trail Rd, Glendale Heights, IL 60139 | 2006-12-28 |
| 1134386022 | Osama Ismail D.d.s. | Dentist | 2184 Bloomingdale Rd Ste B, Glendale Heights, IL 60139-1601 | 2008-05-19 |
| 1831363134 | Apple Dental PC | Dentist | 1120 N Main St, Suite 2, Glendale Heights, IL 60139 | 2008-04-17 |
| 1104974708 | Glenwood Dental PC | Dentist | 1155 N Main St, Ste A, Glendale Heights, IL 60139-3508 | 2007-01-08 |
| 1265443477 | Subbashini Marimuthu | Dentist | 1155 N Main St, Ste. A, Glendale Heights, IL 60139-3508 | 2006-08-11 |
| 1952385353 | Madhuri Punaty | Dentist | 1120 N Main St, Suite 2, Glendale Heights, IL 60139 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 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 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | GLENDALE HEIGHTS |
| Zip Code | 60139 |
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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.