SCM DENTAL PC


Address: 2435 Glenwood Ave, Joliet, IL 60435-5461
Phone: 8157250260

SCM DENTAL PC (NPI# 1609136373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609136373
Entity Type Organization
Organization Name SCM DENTAL PC
Practice Address 2435 Glenwood Ave
Joliet
IL 60435-5461
Mailing Address 2400 Glenwood Ave
Suite 225
Joliet
IL 60435-5474
Practice Telephone 8157250260
Practice Fax Number 8157292126
Mailing Telephone 8157250260
Mailing Fax Number 8157292126
Enumeration Date 2012-05-29
Last Update Date 2017-03-15
Authorized Official Name DR. SONAL C MEHTA (OWNER/PRESIDENT)
Authorized Official Telephone 8157250260
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
019027726 IL Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 421529687 05

Office Location

Street Address 2435 GLENWOOD AVE
City JOLIET
State IL
Zip Code 60435-5461

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144239369 Kishor G Ajmere Internal Medicine 2435 Glenwood Ave, Ste 110, Joliet, IL 60435-5461 2006-08-05
1679737233 Sonal Chandrakant Mehta Dentist 2435 Glenwood Ave, Joliet, IL 60435-5461 2008-07-14
1629151717 Chandrakant K Mehta Dentist 2435 Glenwood Ave, Joliet, IL 60435-5461 2006-10-23
1952310179 Kishor Ajmere Md Ltd Internal Medicine 2435 Glenwood Ave, Ste 110, Joliet, IL 60435-5461 2006-08-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851889018 Chime Ajiere Nurse Practitioner 511 Theodore St, Joliet, IL 60435 2018-04-24
1740791284 Melanie Presnak Speech-Language Pathologist 1207 N Larkin Ave, Joliet, IL 60435 2017-10-23
1831618883 Jeriel Marsena Quarles Licensed Practical Nurse 1617 W Jefferson Street, Joliet, IL 60435 2017-09-11
1053769760 Cody Hutchinson Physical Therapy Assistant 2943 W Jefferson St, Joliet, IL 60435 2016-06-03
1659748549 Megan Ryab Massage Therapist 501 Wilcox St, Joliet, IL 60435 2015-08-26
1922416197 Kodo Care, Inc. Pharmacy 221 Springfield Avenue, Suite A, Joliet, IL 60435 2014-07-31
1528489739 My Family Doc LLC Family Medicine 2001-03 Essington Rd, Joliet, IL 60435 2013-12-16
1184973869 R A Lombardi Dds PC Dentist 3011 Theodore St., Joliet, IL 60435 2012-09-10
1245546076 Kelly Rae Lesemann Chiropractor 1011 Essington Road, Joliet, IL 60435 2010-08-31
1932413697 Ann E Todd Optometrist 1521 Essington Road, Everything In Sight, Joliet, IL 60435 2010-08-04
Find all providers in zip 60435

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306362389 Craigory James Raino Dentist 2901 Plainfield Rd Ste A, Joliet, IL 60435-1129 2017-08-21
1922547264 Shining Smiles 4, Inc Dentist 110 N Larkin Ave, Joliet, IL 60435-6603 2017-02-20
1619385101 Metrosmiles - Joliet Dental PC Dentist 2625 W Jefferson St, Joliet, IL 60435-6432 2014-07-28
1700207594 Innovative Orthodontics Dentist 1000 W Jefferson St Ste 101, Joliet, IL 60435-6812 2013-12-20
1902191208 Sara Anwar Dentist 1502 Kempton St, Joliet, IL 60431-8077 2011-06-14
1639486053 Patel&patel D.d.s Ltd Dentist 1507 1/2 W Jefferson St, Joliet, IL 60435-6765 2010-09-07
1699917153 Krishan Dental Limited Dentist 825 Plainfield Rd, Joliet, IL 60435-5900 2009-03-30
1265684674 Rudolf C Paolucci Dentist 202 North Hammes Avenue Suite B, Joliet, IL 60435 2008-10-16
1235302910 Royal Dental Dentist 2713 Black Road, Joliet, IL 60435 2008-04-02
1487857496 Thomas J Streitz Dentist 1711 Campbell St, Joliet, IL 60435-6709 2007-06-07
Find all providers in JOLIET

Competitor

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City JOLIET
Zip Code 60435

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Dataset Information

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.

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