PEDIATRIC DENTAL ASSOCIATES PC (NPI# 1467462622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467462622 |
Entity Type | Organization |
Organization Name | PEDIATRIC DENTAL ASSOCIATES PC |
Practice Address |
195 Arlington Hts Rd St 150 Buffalo Grove IL 60089 |
Practice Telephone | 8475377695 |
Practice Fax Number | 8475376758 |
Mailing Telephone | 8475377695 |
Mailing Fax Number | 8475376758 |
Enumeration Date | 2006-08-09 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. FRED S MARGOLIS (DENTIST OWNER) |
Authorized Official Telephone | 8475371695 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
IL | Dental Providers | |
X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
IL | Dental Providers | |
X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
IL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447328349 | Pediatric Dental Associates PC | Dentist | 1103 Walnut Drive, Pediatric Dental Associates PC, Ardmore, OK 73401 | 2006-12-01 |
1477678167 | Pediatric Dental Associates PC | Dentist | 7750 West Jefferson Blvd, Fort Wayne, IN 46804-4174 | 2007-03-20 |
Street Address |
195 ARLINGTON HTS RD ST 150 |
City | BUFFALO GROVE |
State | IL |
Zip Code | 60089 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831109081 | Partners In Oral Health-orthodontic | Dentist | 195 Arlington Hts Rd, St 150, Buffalo Grove, IL 60089 | 2006-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841795275 | Mary Elizabeth Strain, Phd LLC | Psychologist | 355 W Dundee Rd Ste 214, Buffalo Grove, IL 60089 | 2018-03-27 |
1861906067 | Pdi Medical IIi LLC | Pharmacy | 1623 Barclay Boulevard, Buffalo Grove, IL 60089 | 2017-11-27 |
1487165304 | Crystalann Sasha Thomas | Social Worker | 135 N Arlington Heights Rd., 104, Buffalo Grove, IL 60089 | 2017-10-18 |
1801315718 | Natalya Sagalov | Psychologist | 1283 Sandhurst Drive, Buffalo Grove, IL 60089 | 2017-09-12 |
1770035859 | Transport Auto Inc | Non-emergency Medical Transport (VAN) | 456 Chicory Ln, Buffalo Grove, IL 60089 | 2016-10-25 |
1982062535 | Eileen Fang | Occupational Therapist | 858 Horatio Blvd., Buffalo Grove, IL 60089 | 2016-02-10 |
1437538345 | Jamie Levin | Social Worker | 830 Belmar Lane, Buffalo Grove, IL 60089 | 2015-05-26 |
1669850756 | Cress Chiropractic Inc | Chiropractor | 1176 Mchenry Road, Buffalo Grove, IL 60089 | 2015-05-11 |
1801273123 | Vicki Lane Sheehan | Dentist | 2100 Lake Cook Rd., Suite 1100, Buffalo Grove, IL 60089 | 2015-05-06 |
1073918629 | Natalya Nagornaya Dds PC | Dentist | 472 Half Day Rd, Buffalo Grove, IL 60089 | 2014-10-24 |
Find all providers in zip 60089 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619056025 | Theodore Loiben | Dentist | 123 Mchenry Rd, Buffalo Grove, IL 60089-1796 | 2006-11-04 |
1932282712 | George Lin | Dentist | 195 N Arlington Heights Rd, St.150, Buffalo Grove, IL 60089-8211 | 2006-10-23 |
1194809731 | Pediatric Dental Associates,ps | Dentist | 195 N Arlington Heights Rd, Suite 150, Buffalo Grove, IL 60089-8211 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932709433 | Children's Center for Dentistry | Dentist | 314 Susan Dr, Normal, IL 61761-6206 | 2020-10-26 |
1073125746 | Jessica Mattern Dds, Pllc | Dentist | 326 W Burlington Ave, La Grange, IL 60525-2363 | 2020-08-23 |
1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
1710450754 | Drs Selberg & Rice Pllc | Dentist | 4945 Stone Falls Ctr Ste B, O Fallon, IL 62269-7801 | 2019-01-02 |
1821583634 | Dentalgenix | Dentist | 113 E Schaumburg Rd, Schaumburg, IL 60194-3518 | 2018-06-25 |
1528562253 | Rachel Vorwaller | Dentist | 1460 N Halsted St Ste 403, Chicago, IL 60642-2607 | 2018-03-19 |
1942740006 | Dhwani M. Joshi | Dentist | 195 S Rand Rd Ste 110, Lake Zurich, IL 60047-2205 | 2017-03-08 |
1316393390 | Erin Marie Petrik | Dentist | 2530 N Clark St, Apt 203, Chicago, IL 60614-4972 | 2016-05-10 |
1669839593 | Algonquin Kids Dentistry, Inc | Dentist | 4097 W Algonquin Rd, Algonquin, IL 60102-9401 | 2016-01-22 |
1720468598 | Mehedia Haque | Dentist | 2062 N Milwaukee Ave, Chicago, IL 60647 | 2015-06-05 |
Find all providers with the same taxonomy |
City | BUFFALO GROVE |
Zip Code | 60089 |
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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.