DR. DUSTIN GOETZ (NPI# 1760890453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760890453 |
| Entity Type | Individual |
| Full Name | DR. DUSTIN GOETZ |
| Credential | D.D.S. |
| Practice Address |
201 N Constitution Dr Aurora IL 60506-3200 |
| Mailing Address |
25460 W Scott Rd Barrington IL 60010-2423 |
| Practice Telephone | 6308402640 |
| Mailing Telephone | 8472543819 |
| Enumeration Date | 2014-07-26 |
| Last Update Date | 2014-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019029887 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598177891 | Dustin Dominic Goetz | Anesthesiology | 202 E Greenfield Ln, Ste 100, Bismarck, ND 58503-6597 | 2014-05-21 |
| Street Address |
201 N CONSTITUTION DR |
| City | AURORA |
| State | IL |
| Zip Code | 60506-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366525412 | Michael J Montminy | Dentist | 201 N Constitution Dr, Aurora, IL 60506 | 2006-10-23 |
| 1366641805 | John M Cummins | Dentist | 201 N Constitution Dr, Aurora, IL 60506-3200 | 2007-07-15 |
| 1356569222 | Gerald L. Michels D.d.s. Ltd | Clinic/Center | 201 N Constitution Dr, Aurora, IL 60506-3200 | 2007-04-23 |
| 1568539187 | Joseph J Michels | Dentist | 201 N Constitution Dr, Aurora, IL 60506-3200 | 2006-11-29 |
| 1992877526 | David V Wolfe Dds Ltd | Clinic/Center | 201 N Constitution Dr, Aurora, IL 60506-3200 | 2006-11-15 |
| 1750468989 | William John Taylor | Dentist | 201 N Constitution Dr, Suite E, Aurora, IL 60506-3200 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
| 1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
| 1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
| 1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
| 1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
| 1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
| 1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
| 1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
| 1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
| 1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
| Find all providers in zip 60506 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086252 | Chancy Hanquist | Dentist | 1830 E Condon Ave, Aurora, NE 68818-3135 | 2020-09-02 |
| 1376169714 | Puneet Kaur Pandher | Dentist | 13650 E Colfax Ave Apt 3115, Aurora, CO 80011-6989 | 2020-06-22 |
| 1043835648 | Kelli Williams | Dentist | 3162 S Hannibal St, Aurora, CO 80013-1750 | 2020-06-10 |
| 1588288062 | Lynn Doan | Dentist | 12357 E Cornell Ave Unit 10, Aurora, CO 80014-3323 | 2020-06-01 |
| 1447895255 | Aurora Dentist Office and Orthodontics, LLP | Dentist | 12101 E Dartmouth Ave Ste 200, Aurora, CO 80014-4948 | 2019-11-15 |
| 1942843420 | Palak M Shah | Dentist | 1261 N Lake St Ste J, Aurora, IL 60506-2471 | 2019-10-28 |
| 1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
| 1518515162 | Manju Suresh | Dentist | 1264a N Lake St, Aurora, IL 60506-2453 | 2019-08-27 |
| 1346801958 | Gabrielle Brandt | Dentist | 25791 E Smoky Hill Rd Unit 10, Aurora, CO 80016-1793 | 2019-06-25 |
| 1649831546 | Kevin Smith | Dentist | 5657 S Himalaya St Ste 270, Aurora, CO 80015-5310 | 2019-06-22 |
| Find all providers in AURORA | ||||
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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.