PERIODONTICS AND IMPLANT DENTISTRY LLC (NPI# 1598250995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598250995 |
| Entity Type | Organization |
| Organization Name | PERIODONTICS AND IMPLANT DENTISTRY LLC |
| Practice Address |
8559 S Pulaski Rd Chicago IL 60652-3643 |
| Practice Telephone | 7735820035 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Authorized Official Name | HECTOR CUMMINGS (OWNER) |
| Authorized Official Telephone | 7735820035 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| Street Address |
8559 S PULASKI RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60652-3643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548339328 | Rachel M. George | Dentist | 8559 S Pulaski Rd, Chicago, IL 60652-3643 | 2006-11-07 |
| 1811327489 | Paul M. Stec Il Dds PC | Dentist | 8559 S Pulaski Rd, Chicago, IL 60652-3643 | 2013-11-19 |
| 1265670624 | Jere Robert Seralde | Dentist | 8559 S Pulaski Rd, Chicago, IL 60652-3643 | 2009-01-23 |
| 1790940849 | Anil Agarwal | Dentist | 8559 S Pulaski Rd, Chicago, IL 60652-3643 | 2008-07-28 |
| 1811052061 | Winterset Dental Care | Dentist | 8559 S Pulaski Rd, Chicago, IL 60652-3643 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861042715 | New Hope Community Service Center | Clinic/Center | New Hope Community Service Center, 2559 West 79th, Chicago, IL 60652 | 2019-09-12 |
| 1770012189 | Rachel Pasternak | Social Worker | 3348 W 87th Street, Chicago, IL 60652 | 2017-06-08 |
| 1437682283 | Manliu Yang | Dentist | 8541 S Cicero Ave, Chicago, IL 60652 | 2017-04-08 |
| 1336687144 | Stephanie J. Wilson | Registered Nurse | 7600 S. Pulask Rd., Chicago, IL 60652 | 2017-02-01 |
| 1346786811 | Talisha Moman | Licensed Practical Nurse | 7600 S. Pulaski Rd., Suite 1106, Chicago, IL 60652 | 2017-01-09 |
| 1952851933 | Yvonne Caldwell | Licensed Practical Nurse | 8600 S. Pulaski, Road, Chicago, IL 60652 | 2016-10-13 |
| 1942605795 | Brittney Mclean | Developmental Therapist | 4317 W. 77th Pl, Chicago, IL 60652 | 2014-10-22 |
| 1245599521 | Chisa Marie Collins | Occupational Therapist | 8008 S Albany, Chicago, IL 60652 | 2012-05-08 |
| 1548572969 | St. Mary Therapy Services | Clinic/Center | 2455 W 79th St, #101, Chicago, IL 60652 | 2010-07-14 |
| 1750574752 | Curt R Lang | Dentist | 4651 W 79th St, Suite 208, Chicago, IL 60652 | 2007-08-22 |
| Find all providers in zip 60652 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861209 | Winterset Dental Care PC | Clinic/Center | 8559 S Pulaski Rd Ste 103, Chicago, IL 60652-3643 | 2018-08-15 |
| 1679070189 | Lakeside Oral & Implant Surgery Institute, PC | Clinic/Center | 5758 S Maryland Ave # 4h, Chicago, IL 60637-1426 | 2018-04-11 |
| 1962753210 | Millennium Surgical, Inc | Clinic/Center | 5978 S Archer Ave, Chicago, IL 60638-2817 | 2012-09-26 |
| 1558643734 | Northwestern Oral & Maxillofacial Surgeons PC | Clinic/Center | 201 E Huron St, Suite 12-100, Chicago, IL 60611-3197 | 2011-09-14 |
| 1053600791 | George S. Panos D.d.s. Ltd. | Clinic/Center | 5470 W Madison St, Chicago, IL 60644-4031 | 2011-04-04 |
| 1609956903 | Rush Presbyterian-st Lukes Med Ctr | Clinic/Center | 1725 W Harrison St, Suite 425, Pob 1, Chicago, IL 60612-3841 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605351 | The Bloom Oral Surgery, P.C. | Clinic/Center | 219 N Hammes Ave Ste 1, Joliet, IL 60435-8145 | 2019-08-26 |
| 1528543121 | Joms LLC | Clinic/Center | 10 Martin Ave Ste 164, Naperville, IL 60540-6563 | 2018-09-28 |
| 1851551642 | Alan Andreas Harvey | Clinic/Center | 2500 Ridge Ave Ste 302, Evanston, IL 60201-2477 | 2008-06-15 |
| 1881808053 | Oral and Maxillofacial Surgery Specalists Ltd. | Clinic/Center | 4035 Morsay Dr., Rockford, IL 61107-4871 | 2007-05-09 |
| 1962599605 | Affiliated Oral & Maxillofacial Surgeons Ltd | Clinic/Center | 3438 N Old Arlington Heights Rd, Arlington Heights, IL 60004 | 2006-10-06 |
| 1437703113 | Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il | Clinic/Center | 208 N Walnut Ave, Forreston, IL 61030-9330 | 2019-07-30 |
| 1205288982 | Lakeside Oral & Facial Surgery Institute | Clinic/Center | 2500 Ridge Ave, Suite 302, Evanston, IL 60201-2455 | 2016-07-06 |
| 1760850291 | Kloberdanz Oral Surgery and Dental Implants P.C. | Clinic/Center | 2580 Foxfield Rd Ste 100, St Charles, IL 60174-1411 | 2015-09-15 |
| 1811379142 | Rock River Oral Surgery & Dental Implant Center LLC | Clinic/Center | 973 Featherstone Rd, Suite 102, Rockford, IL 61107-5912 | 2015-06-23 |
| 1124257571 | John Brunetti, Dmd, Ltd. | Clinic/Center | 1 E Phillip Rd, Suite 101, Vernon Hills, IL 60061-1858 | 2009-07-07 |
| Find all providers with the same taxonomy | ||||
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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.