PRESTIGE DENTAL P C (NPI# 1710162581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710162581 |
| Entity Type | Organization |
| Organization Name | PRESTIGE DENTAL P C |
| Practice Address |
125 E Irving Park Rd Streamwood IL 60107-2950 |
| Practice Telephone | 6302130682 |
| Practice Fax Number | 6302130685 |
| Mailing Telephone | 6302130682 |
| Mailing Fax Number | 6302130685 |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2007-12-29 |
| Authorized Official Name | MOEEN IKRAM (PRESIDENT) |
| Authorized Official Telephone | 6302130666 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 181058 | 05 |
| Street Address |
125 E IRVING PARK RD |
| City | STREAMWOOD |
| State | IL |
| Zip Code | 60107-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730160979 | Moeen Ikram | Dentist | 125 E Irving Park Rd, Streamwood, IL 60107-2950 | 2005-11-07 |
| 1184174203 | Prasudha Sunkara | Dentist | 125 E Irving Park Rd, Streamwood, IL 60107-2950 | 2016-10-12 |
| 1023425816 | Sara Sarrafee | Dentist | 125 E Irving Park Rd, Streamwood, IL 60107-2950 | 2014-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215469234 | 21st Century Home Healthcare Inc | In Home Supportive Care | 412 Kensington Drive, Streamwood, IL 60107 | 2017-03-29 |
| 1831408160 | Wal-mart Stores Inc | Technician/Technologist | 850 South Barrington Road, Streamwood, IL 60107 | 2010-10-05 |
| 1851611529 | Melissa Rachael Stenzel | Pharmacist | 1001 S Sutton Rd, Streamwood, IL 60107 | 2010-06-04 |
| 1720236870 | Caroline Lindsey Masciola | Physical Therapist | 70 Magnolia Dr, Streamwood, IL 60107 | 2008-09-03 |
| 1952596165 | Zachary House | Intermediate Care Facility, Mentally Retarded | 1102 East Avenue, Streamwood, IL 60107 | 2007-09-11 |
| 1669694568 | Christopher L Schneider | Dentist | 103 South Sutton Road, Streamwood, IL 60107 | 2007-05-02 |
| 1376675215 | Carrie Ann Estrada | Social Worker | 1535 Burgundy Pkwy, Streamwood, IL 60107 | 2007-03-09 |
| 1629115928 | Luis E Luna | Family Medicine | 1160 E. Schaumburg Rd, Streamwood, IL 60107 | 2007-01-30 |
| 1922054691 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 217 E Irving Park Rd, Streamwood, IL 60107 | 2006-05-25 |
| 1821537960 | Beth Anne Chiari | Nurse Practitioner | 371 S. Main Place, Carol Stream, IL 60107 | 2017-02-22 |
| Find all providers in zip 60107 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497262661 | Slddds Ltd | Clinic/Center | 1296 Sutton Rd, Streamwood, IL 60107-3370 | 2018-01-09 |
| 1609200609 | Pinnacle Dental Centers LLC | Clinic/Center | 527 S Bartlett Rd, Streamwood, IL 60107-1309 | 2013-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629514 | Chicago Pediatric Dentistry and Orthodontics | Clinic/Center | 1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734 | 2020-11-03 |
| 1437750031 | Secure Dental Xi | Clinic/Center | 1843 W Golf Rd, Schaumburg, IL 60194-1148 | 2020-11-02 |
| 1780283267 | Jenna Gaw, Dds, Pllc | Clinic/Center | 1724 Locust Pl Apt 303, Schaumburg, IL 60173-4239 | 2020-10-26 |
| 1740889344 | Nsp Dental LLC | Clinic/Center | 1900 Hollister Dr Ste 190, Libertyville, IL 60048-5283 | 2020-10-23 |
| 1285232827 | Paul Doodes Dds Phd PC | Clinic/Center | 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137-6282 | 2020-10-15 |
| 1780290676 | Great Smile Dental Pllc | Clinic/Center | 720 Osterman Ave Ste 304, Deerfield, IL 60015-4339 | 2020-09-16 |
| 1669087375 | Naperville Smiles Dental | Clinic/Center | 8 W Gartner Rd Ste 124, Naperville, IL 60540-7549 | 2020-09-09 |
| 1649883364 | Mark J Maly Estate | Clinic/Center | 103 S Main St # Po, Orangeville, IL 61060-9244 | 2020-08-24 |
| 1760094718 | Stoffel and Tomazin Dental Associates, Ltd | Clinic/Center | 5718 W 35th St, Cicero, IL 60804-4222 | 2020-08-20 |
| 1215548771 | Meda Dental II LLC | Clinic/Center | 2735 Hassert Blvd Ste 159, Naperville, IL 60564-5205 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | STREAMWOOD |
| Zip Code | 60107 |
Please comment or provide details below to improve the information on PRESTIGE DENTAL P C.
| 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.