DR. LESLIE E RUSS JR. (NPI# 1780742007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780742007 |
| Entity Type | Individual |
| Full Name | DR. LESLIE E RUSS JR. |
| Credential | DDS |
| Practice Address |
1259 Rickert Dr Suite 205 Naperville IL 60540-8902 |
| Practice Telephone | 6303577877 |
| Practice Fax Number | 6303577974 |
| Mailing Telephone | 6303577877 |
| Mailing Fax Number | 6303577974 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019020249 | IL | Dental Providers |
| Street Address |
1259 RICKERT DR SUITE 205 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-8902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104813849 | Kevin R. Wright | Physician Assistant | 1259 Rickert Dr, Suite 101, Naperville, IL 60540-8902 | 2005-09-27 |
| 1619421047 | Kristin Moctezuma | Physical Therapist | 1259 Rickert Dr, Suite 201, Naperville, IL 60540-8902 | 2016-08-15 |
| 1437525383 | Rebecca Davies | Physical Therapist | 1259 Rickert Dr, Suite 201, Naperville, IL 60540-8902 | 2015-08-14 |
| 1114350261 | Du Page Medical Group Ltd | Prosthetic/Orthotic Supplier | 1259 Rickert Dr, Ste 101, Naperville, IL 60540-8902 | 2013-08-13 |
| 1770929788 | Michelle L Zdan | Physical Therapy Assistant | 1259 Rickert Dr, Suite 201, Naperville, IL 60540-8902 | 2013-05-16 |
| 1043436819 | Dalip Pelinkovic | Orthopaedic Surgery | 1259 Rickert Dr, Suite 101, Naperville, IL 60540-8902 | 2007-04-18 |
| 1235259854 | Andrea Hueschen | Physical Therapist | 1259 Rickert Dr, Naperville, IL 60540-8902 | 2007-03-29 |
| 1164563904 | Rose Pham | Physical Therapist | 1259 Rickert Dr, Suite 201, Naperville, IL 60540-8902 | 2007-02-12 |
| 1255341681 | Misty Wessing | Physician Assistant | 1259 Rickert Dr, Suite #200, Naperville, IL 60540-8902 | 2006-08-08 |
| 1992754493 | John M Bockrath | Urology | 1259 Rickert Dr, Ste 200, Naperville, IL 60540-8904 | 2006-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| 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 |
|---|---|---|---|---|
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1972146470 | Bryan A Weyneth Dds PC | Dentist | 1100 Sherman Ave Ste 1031100, Naperville, IL 60563-8608 | 2019-10-28 |
| 1447892047 | Dental Group of Naperville, P.C. | Dentist | 1012 95th St Ste 5, Naperville, IL 60564-5040 | 2019-10-15 |
| 1760977078 | Pebblewood Dental | Dentist | 1550 N Route 59 Ste 148, Naperville, IL 60563-0152 | 2018-06-28 |
| 1396239877 | David Matthew Kurian | Dentist | 4023 Falcon Dr, Naperville, IL 60564-5884 | 2018-06-19 |
| 1184159550 | Chirag Ajay Parikh | Dentist | 4827 S Route 59, Ste. 115, Naperville, IL 60564-8318 | 2017-04-24 |
| 1427581065 | Mark J. Walsh | Dentist | 4s615 Karns Rd, Naperville, IL 60563-1508 | 2017-04-11 |
| 1407206238 | Hy Line Dental | Dentist | 1301 S Route 59 Ste 107, Naperville, IL 60564-9014 | 2016-06-13 |
| 1538574546 | Meredith Gantos | Dentist | 8 W Gartner Rd Ste 168, Naperville, IL 60540-7547 | 2014-06-27 |
| 1477968576 | Naper Dental Sleep Center, Ltd | Dentist | 300 E 5th Ave Ste 420, Naperville, IL 60563-3403 | 2014-06-26 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
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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.