DR. BRIAN TINNY (NPI# 1700280054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700280054 |
| Entity Type | Individual |
| Full Name | DR. BRIAN TINNY |
| Credential | D.D.S. |
| Practice Address |
1049 E Haven Ave Suite 3 New Lenox IL 60451-1988 |
| Mailing Address |
1049 East Haven Avenue Suite 3 New Lenox IL 60451-1994 |
| Practice Telephone | 8154855558 |
| Mailing Telephone | 8154855558 |
| Mailing Fax Number | 8154852383 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019020262 | IL | Dental Providers |
| Street Address |
1049 E HAVEN AVE SUITE 3 |
| City | NEW LENOX |
| State | IL |
| Zip Code | 60451-1988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
| 1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
| 1093204778 | New Lenox Anesthesia LLC | Anesthesiology | 678 Cedar Crossing Dr, New Lenox, IL 60451 | 2018-05-08 |
| 1578068698 | My Medicar | Non-emergency Medical Transport (VAN) | 21625 S. Schoolhouse Rd, New Lenox, IL 60451 | 2018-03-29 |
| 1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
| 1063947422 | Silver Cross Ambulatory Surgery Center, LLC | Clinic/Center | 1003 Pawlak Parkway, New Lenox, IL 60451 | 2017-04-24 |
| 1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
| 1295105484 | Alison Elaine Burchardt | Nurse Practitioner | 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 | 2015-09-30 |
| 1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
| 1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
| Find all providers in zip 60451 | ||||
| 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 |
|---|---|---|---|---|
| 1750878005 | Albert Dental Professionals, PC | Dentist | 1938 E Lincoln Hwy Ste 104, New Lenox, IL 60451-3843 | 2018-04-21 |
| 1558887778 | Omar Barraza | Dentist | 410 E Lincoln Hwy Ste 100, New Lenox, IL 60451-1976 | 2017-08-18 |
| 1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
| 1649684507 | Brendan Mcgraw | Dentist | 165 S Marley Rd, New Lenox, IL 60451-3302 | 2014-06-18 |
| 1932334695 | Paul Edward Etchison | Dentist | 820 Laraway Rd, New Lenox, IL 60451-2694 | 2009-05-26 |
| 1154584621 | Zale Family Dentistry, P.C. | Dentist | 2081 Calistoga Dr Ste 3s, New Lenox, IL 60451-4834 | 2008-07-05 |
| 1497979116 | Jean Anne Murphy | Dentist | 1600 Us Route 30, New Lenox, IL 60451 | 2007-04-12 |
| 1164541926 | Caesar Ciaglia | Dentist | 1600 W. Lincoln Hwy, New Lenox, IL 60451 | 2007-03-29 |
| 1750409595 | Frank G. Hutton IIi | Dentist | 1240 N Cedar Rd, New Lenox, IL 60451-1257 | 2007-03-27 |
| 1992831747 | Michael Dale Carlstrom | Dentist | 1049 E. Lincoln Hwy., New Lenox, IL 60451-1988 | 2007-02-26 |
| Find all providers in NEW LENOX | ||||
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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.