AFFORDABLE DENTISTRY TODAY, PC (NPI# 1750503371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750503371 |
| Entity Type | Organization |
| Organization Name | AFFORDABLE DENTISTRY TODAY, PC |
| Other Organization Name | ST. CHARLES LIFETIME DENTAL |
| Practice Address |
615 South Randall Road, Unit #110 St. Charles IL 60174-1564 |
| Practice Telephone | 6304436635 |
| Practice Fax Number | 6304436637 |
| Mailing Telephone | 6304436635 |
| Mailing Fax Number | 6304436637 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | KIM ZUBER (I & R SUPERVISOR) |
| Authorized Official Telephone | 2175405170 |
| Is Organization Subpart | Y |
| Parent Organization Name | AFFORDABLE DENTISTRY TODAY, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019029509 | IL | Dental Providers |
| Other Name | Type Code |
|---|---|
| St. Charles Lifetime Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336352608 | Affordable Dentistry Today, PC | Dentist | 5300 West Main, Belleville, IL 62226 | 2007-05-07 |
| 1336361898 | Affordable Dentistry Today, PC | Dentist | 2965 S Macarthur, Suite B, Springfield, IL 62704 | 2007-05-03 |
| 1558583096 | Affordable Dentistry Today, PC | Dentist | 515 North Monroe, Litchfield, IL 62056 | 2007-05-03 |
| 1467674002 | Affordable Dentistry Today, PC | Dentist | 3432 College Avenue, Alton, IL 62002 | 2007-05-03 |
| 1427270073 | Affordable Dentistry Today, PC | Dentist | 1801 North Belt West, Suite C, Belleville, IL 62226 | 2007-05-03 |
| 1275755753 | Affordable Dentistry Today, PC | Dentist | 14 East Anthony Drive, Suite B, Champaign, IL 61820 | 2007-05-03 |
| 1184846628 | Affordable Dentistry Today, PC | Dentist | 50 North Center Street, East Alton, IL 62024 | 2007-05-03 |
| 1598987067 | Affordable Dentistry Today, PC | Dentist | 507 North Hershey Drive, Suite D, Bloomington, IL 61704 | 2007-05-03 |
| 1205058666 | Affordable Dentistry Today, PC | Dentist | 1507 North Veterans Parkway, Suite 2, Bloomington, IL 61704 | 2007-05-03 |
| 1730301268 | Affordable Dentistry Today, PC | Dentist | 242 Southwoods Centre Drive, Columbia, IL 62236 | 2007-05-03 |
| Street Address |
615 SOUTH RANDALL ROAD, UNIT #110 |
| City | ST. CHARLES |
| State | IL |
| Zip Code | 60174-1564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| 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 |
|---|---|---|---|---|
| 1568718690 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1520 South 5th Street, Suite 103, St. Charles, MO 63303 | 2012-07-26 |
| 1639343296 | Gina Marie Savani | Dentist | 525 South Tyler Road, Suite K, St. Charles, IL 60174 | 2008-04-15 |
| 1669556312 | Robert J Wheeler | Dentist | 2665 West Clay St, St. Charles, MO 63301-2589 | 2006-10-25 |
| 1881789287 | Lawrence John Liesen I | Dentist | 6n182 Sunset Dr., St. Charles, IL 60175 | 2006-10-03 |
| 1467546366 | Jason L Grosch | Dentist | 2408 Highway 94 South, St. Charles, MO 63303 | 2006-10-03 |
| 1558455063 | Elizabeth A Moody | Dentist | 1556 Country Club Plaza, St. Charles, MO 63303 | 2006-10-02 |
| 1518412527 | Alex Sharifian Dds Lindenwood Dentistry, PC | Dentist | 2048 1st Capitol Drive, St. Charles, MO 63301 | 2016-08-19 |
| 1083853287 | Susan E. Litteken, D.d.s., P.C. | Dentist | 928 First Capitol Drive, St. Charles, MO 63301-2734 | 2009-02-11 |
| 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 | ||||
| City | ST. CHARLES |
| Zip Code | 60174 |
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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.