INTERNATIONAL DENTAL CENTER (NPI# 1750518502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750518502 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL DENTAL CENTER |
| Practice Address |
18 S Larkin Ave Joliet IL 60436-1244 |
| Practice Telephone | 8157301570 |
| Mailing Telephone | 8157301570 |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |
| Authorized Official Name | DR. RABEH SALAMAH-MOAHAMMAD (PRESIDENT) |
| Authorized Official Telephone | 7732271245 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 019023066 | IL | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083905467 | International Dental Center | Point of Service | 3502 E State St, Rockford, IL 61108-1914 | 2011-04-20 |
| 1659427425 | International Dental Center | Point of Service | 3138 N Narragansett Ave, Chicago, IL 60634-4919 | 2007-01-26 |
| 1518246735 | International Dental Center | Dentist | 305 W Indian Trl, Unit C, Aurora, IL 60506-2400 | 2011-08-04 |
| 1750694824 | International Dental Center | Dentist | 18 S Larkin Ave, Unit 6, Joliet, IL 60436-1244 | 2010-07-19 |
| 1013063031 | International Dental Center | Point of Service | 2122 N Milwaukee Ave, Chicago, IL 60647-4067 | 2007-01-25 |
| Street Address |
18 S LARKIN AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60436-1244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740559897 | International Dental Joliet | Point of Service | 18 S Larkin Ave, Joliet, IL 60436-1244 | 2011-12-19 |
| 1750694824 | International Dental Center | Dentist | 18 S Larkin Ave, Unit 6, Joliet, IL 60436-1244 | 2010-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431345 | Tiffanie Mcnair | Nurse's Aide | 306 Romayne Ave, Joliet, IL 60436 | 2017-07-28 |
| 1366964215 | Pamela Coney | Licensed Practical Nurse | 916 Prairie Path Ln, Joliet, IL 60436 | 2017-07-12 |
| 1104375815 | Cynthia Sylvia | Licensed Practical Nurse | 211 S. Hunter Ave, Joliet, IL 60436 | 2016-09-23 |
| 1760804629 | Center for Disability Services | Day Training, Developmentally Disabled Services | 311 S Reed St, Joliet, IL 60436 | 2014-01-13 |
| 1215247093 | Sadra Rae West | Developmental Therapist | 807 Thorn Creek Drive, Joliet, IL 60436 | 2010-10-14 |
| 1033360136 | Tonya Hagenbaumer | Dietitian, Registered | 2025 S. Chicago Street, Joliet, IL 60436 | 2008-10-07 |
| 1699966051 | Kul Sood | General Practice | 95 S Chicago St, Joliet, IL 60436 | 2007-08-09 |
| 1053410407 | Yatin M Shah Md Sc | Medical Genetics, Ph.D. Medical Genetics | 2025 S Chicago Street, Joliet, IL 60436 | 2006-09-22 |
| 1821103755 | Victoria L Mancke | Nurse Practitioner | 2025s Chicago St, Joliet, IL 60436 | 2006-08-20 |
| 1790750412 | Maria L Ramirez | Occupational Therapist | 709 Margaret St, Rockdale, IL 60436 | 2006-02-17 |
| Find all providers in zip 60436 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740559897 | International Dental Joliet | Point of Service | 18 S Larkin Ave, Joliet, IL 60436-1244 | 2011-12-19 |
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| 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.