TIMOTHY JOHN KICZENSKI (NPI# 1720110570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720110570 |
| Entity Type | Individual |
| Full Name | TIMOTHY JOHN KICZENSKI |
| Credential | D.D.S. |
| Practice Address |
140 E Commercial St Wood Dale IL 60191-1582 |
| Practice Telephone | 6307662223 |
| Mailing Telephone | 6307662223 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| Street Address |
140 E COMMERCIAL ST |
| City | WOOD DALE |
| State | IL |
| Zip Code | 60191-1582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366506842 | Borislav Denkov Kaltchev | Dentist | 140 E Commercial St, Wood Dale, IL 60191-1582 | 2006-12-20 |
| 1588944268 | Bk Dental LLC | Dentist | 140 E Commercial St, Wood Dale, IL 60191-1582 | 2011-08-25 |
| 1922335942 | Boris Kaltchev Dmd, P.C. | Dentist | 140 E Commercial St, Wood Dale, IL 60191-1582 | 2009-11-12 |
| 1417089277 | Timothy J. Kiczenski, D.d.s., Ltd. | Dentist | 140 E Commercial St, Wood Dale, IL 60191-1582 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215402425 | Linda Jenig | Taxi | 230 Thomas Drive, 10000 Dale, IL 60191 | 2018-10-04 |
| 1023412913 | Nell N Griffin | Licensed Practical Nurse | 473 Jeanne Court, Apartment 3, Wood Dale, IL 60191 | 2014-10-21 |
| 1467881086 | Norma Barajas | Interpreter | 309 Charmille Lane, Wood Dale, IL 60191 | 2013-11-04 |
| 1013283985 | Donald C. Kellner Dds-wood Dale PC | Dentist | 333 North Wood Dale Rd, Suite A, Wood Dale, IL 60191 | 2012-03-26 |
| 1326299892 | Dr. Donald Kellner & Associates | Dentist | 333 N. Wood Dale Rd., Wood Dale, IL 60191 | 2008-10-02 |
| 1235337841 | Wood Dale Dental Ltd | Dentist | 142 W Irving Park Rd, Wood Dale, IL 60191 | 2007-07-05 |
| 1457552044 | Lyra Repplinger | Developmental Therapist | 180 Hansen Court, Wood Dale, IL 60191 | 2007-05-30 |
| 1033289855 | Qirjako Kirk Hoda | Chiropractor | 404 W Irving Park Road, Suite #1, Wood Dale, IL 60191 | 2006-11-09 |
| 1881783199 | Dominic J Tolitano, Md Sc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 311 N. Walnut Ave, Suite 100, Wood Dale, IL 60191 | 2006-10-12 |
| 1417058405 | Donald Craig Kellner | Dentist | 333 N Wood Dale Rd, Suite A, Wood Dale, IL 60191 | 2006-09-25 |
| Find all providers in zip 60191 | ||||
| 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 |
|---|---|---|---|---|
| 1235337841 | Wood Dale Dental Ltd | Dentist | 142 W Irving Park Rd, Wood Dale, IL 60191 | 2007-07-05 |
| 1366506842 | Borislav Denkov Kaltchev | Dentist | 140 E Commercial St, Wood Dale, IL 60191-1582 | 2006-12-20 |
| 1417058405 | Donald Craig Kellner | Dentist | 333 N Wood Dale Rd, Suite A, Wood Dale, IL 60191 | 2006-09-25 |
| 1326159187 | Susan Dianne Frank | Dentist | 121 E Commercial St, Suite A, Wood Dale, IL 60191-1583 | 2006-08-31 |
| 1588944268 | Bk Dental LLC | Dentist | 140 E Commercial St, Wood Dale, IL 60191-1582 | 2011-08-25 |
| 1508163692 | Lerias & Quesea Dds PC | Dentist | 142 W Irving Park Rd, Wood Dale, IL 60191-1341 | 2011-02-25 |
| 1922335942 | Boris Kaltchev Dmd, P.C. | Dentist | 140 E Commercial St, Wood Dale, IL 60191-1582 | 2009-11-12 |
| 1417089277 | Timothy J. Kiczenski, D.d.s., Ltd. | Dentist | 140 E Commercial St, Wood Dale, IL 60191-1582 | 2007-03-09 |
| 1619079431 | Eliot Becker | Dentist | 142 W Irving Park Rd, Wood Dale, IL 60191 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| 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.