DR. TRINA MARIE BLUNT (NPI# 1518956978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518956978 |
| Entity Type | Individual |
| Full Name | DR. TRINA MARIE BLUNT |
| Credential | D.D.S. |
| Practice Address |
8100 S Luella Ave Chicago IL 60617-1152 |
| Practice Telephone | 2172025634 |
| Practice Fax Number | 2173515104 |
| Mailing Telephone | 2172025634 |
| Mailing Fax Number | 2173515104 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
IL | Dental Providers |
| Street Address |
8100 S LUELLA AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1386824498 | Manus Health Systems | Dentist | 676 N Michigan Ave Ste 3500, Chicago, IL 60611-2839 | 2007-11-06 |
| 1083768113 | Philip Nelson | Dentist | 6124 N Overhill Ave, Chicago, IL 60631-3817 | 2007-01-23 |
| 1114920964 | Steven Patrick Geiermann | Dentist | 5218 N Winthrop Ave, # 3n, Chicago, IL 60640-2306 | 2005-05-24 |
| 1568082030 | Phennatda Polpornvitoon | Dentist | 801 S Paulina St Rm 110, Chicago, IL 60612-7210 | 2020-04-24 |
| 1841785375 | Jeffrey S Wittmus Dds Ltd | Dentist | 5315 N Central Ave, Chicago, IL 60630-1302 | 2018-06-27 |
| 1023526852 | All Perfect Smiles of Beverly PC | Dentist | 10601 S Western Ave, Chicago, IL 60643-3100 | 2018-01-15 |
| 1992225627 | Susan Sunok Singer | Dentist | 2632 W Division St, Chicago, IL 60622-2850 | 2017-06-23 |
| 1689103228 | Alexis Linnebur | Dentist | 201 E Huron St, Chicago, IL 60611 | 2017-06-07 |
| 1346534740 | Albert Vo | Dentist | 9119 S Exchange Ave, Chicago, IL 60617-4225 | 2011-06-02 |
| Find all providers in CHICAGO | ||||
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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.