LAFAZANOS DENTAL PC (NPI# 1508188244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508188244 |
| Entity Type | Organization |
| Organization Name | LAFAZANOS DENTAL PC |
| Practice Address |
820 E Terra Cotta Ave Suite 218/220 Crystal Lake IL 60014-3649 |
| Practice Telephone | 8154555490 |
| Practice Fax Number | 8154555498 |
| Mailing Telephone | 8154555490 |
| Mailing Fax Number | 8154555498 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |
| Authorized Official Name | DR. SPIROS J LAFAZANOS (CEO) |
| Authorized Official Telephone | 8154555490 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019023307 | IL | Dental Providers |
| Street Address |
820 E TERRA COTTA AVE SUITE 218/220 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-3649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134100688 | Barry A Altshuler | Pediatrics | 820 E Terra Cotta Ave, Suite 226, Crystal Lake, IL 60014-3649 | 2005-11-10 |
| 1710437694 | Jane Dintzner | Massage Therapist | 820 E Terra Cotta Ave, Suite 101, Crystal Lake, IL 60014-3649 | 2016-10-04 |
| 1407267842 | Home Care Personal Services, Inc. | Home Health | 820 E Terra Cotta Ave, Suite 112, Crystal Lake, IL 60014-3649 | 2014-05-19 |
| 1326310921 | Nature's Balance Acupuncture | Massage Therapist | 820 E Terra Cotta Ave, Suite 101, Crystal Lake, IL 60014-3649 | 2012-01-30 |
| 1164728374 | James P Grimm | Counselor | 820 E Terra Cotta Ave, Suite 215, Crystal Lake, IL 60014-3649 | 2011-02-04 |
| 1851605240 | Behavioral Vision, Ltd. | Optometrist | 820 E Terra Cotta Ave, Suite 256, Crystal Lake, IL 60014-3649 | 2010-07-28 |
| 1427212018 | Tony Louis Minutillo | Dentist | 820 E Terra Cotta Ave, Suite 111, Crystal Lake, IL 60014-3649 | 2008-07-14 |
| 1952560443 | Jacob Allen Klaustermeier | Dermatology | 820 E Terra Cotta Ave, Crystal Lake, IL 60014-3649 | 2008-06-09 |
| 1376711101 | Janet A Rutherford | Physical Therapist | 820 E Terra Cotta Ave, Suite 102, Crystal Lake, IL 60014-3649 | 2008-02-14 |
| 1447437553 | Janine M Jozwiak | Acupuncturist | 820 E Terra Cotta Ave, Suite 101, Crystal Lake, IL 60014-3649 | 2008-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| 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 |
|---|---|---|---|---|
| 1275010134 | Muizz Merchant | Dentist | 720 Cog Cir Ste H, Crystal Lake, IL 60014-7301 | 2018-07-24 |
| 1831485929 | Ludford Dental, P.C. | Dentist | 6315 Northwest Hwy, Suite A, Crystal Lake, IL 60014-7939 | 2011-06-27 |
| 1700038908 | Bhawna Prasad | Dentist | 5911 Northwest Hwy., Ste. 104 Windsor Dental, P.C., Crystal Lake, IL 60014 | 2008-10-21 |
| 1437305927 | Gerald Miller | Dentist | 600 Dakota St Ste A, Crystal Lake, IL 60012-3742 | 2008-08-15 |
| 1427214030 | Joseph A Fritz | Dentist | 388 W Virginia St, Crystal Lake, IL 60014-5755 | 2008-08-03 |
| 1730346750 | Donald K Jones | Dentist | 1024 S Mchenry Ave, Crystal Lake, IL 60014-7477 | 2008-05-19 |
| 1003089251 | Dcp of Illinois - Crystal Lake | Dentist | 1145 South Route 31, Siute J, Crystal Lake, IL 60039 | 2008-04-09 |
| 1497926299 | Robert Henry Basile | Dentist | 385 Millennium Dr, Suite B, Crystal Lake, IL 60012-3761 | 2008-03-19 |
| 1902020464 | David W Bojan | Dentist | 1024 Mchenry Ave Ste H, Crystal Lake, IL 60014-7477 | 2007-04-13 |
| 1508909573 | Tami L Zuck | Dentist | 360 N Terra Cotta Rd, Suite #d, Crystal Lake, IL 60012-3749 | 2007-02-15 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on LAFAZANOS DENTAL PC.
| 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.