DR. KENT M SHINOZAKI (NPI# 1780771691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780771691 |
| Entity Type | Individual |
| Full Name | DR. KENT M SHINOZAKI |
| Credential | D.D.S. |
| Practice Address |
304 East Rand Road Suite 200 Arlington Heights IL 60004 |
| Practice Telephone | 2247703001 |
| Mailing Telephone | 2247703001 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2013-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
6965-15 | WI | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
019029262 | IL | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
52931 | CA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2223 | HI | Dental Providers |
| Street Address |
304 EAST RAND ROAD SUITE 200 |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083040349 | Kent Shinozaki, Dds, P.C. | Dentist | 304 East Rand Road, Suite 200, Arlington Heights, IL 60004 | 2013-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659638 | Wayne L. Tsutsumi | Technician | 1106 E. Mayfair Road, Arlington Heights, IL 60004 | 2019-10-04 |
| 1598275562 | Tyler James Kostecki | Physician Assistant | 3405 North Arlington Heights Road, Arlington Heights, IL 60004 | 2017-10-04 |
| 1104345628 | Diane Kaffka | Speech-Language Pathologist | 2330 N. Verde Ave, Arlington Heights, IL 60004 | 2017-09-15 |
| 1508302373 | Maureen O'connor I | Behavioral Analyst | 3385 N Arlighton Heights Road, Arlighton Heights, IL 60004 | 2017-01-17 |
| 1366985210 | Brian Zulawinski, Dds, LLC | Dentist | 15 N. Arlington Heights Rd, Arlington Heights, IL 60004 | 2016-11-28 |
| 1568918282 | Andrea M Doshi | Speech-Language Pathologist | 1965 N Oakwood Drive, Arlington Heights, IL 60004 | 2016-09-01 |
| 1932514437 | Prone Solutions Inc. | Durable Medical Equipment & Medical Supplies | 126 South Dwyer Avenue, Arlington Heights, IL 60004 | 2014-06-24 |
| 1255751251 | Joann F. Hamm, O.d., P.C. | Optometrist | 1504 N. Arlington Heights Rd., Arlington Heights, IL 60004 | 2014-04-17 |
| 1669891602 | N Joshi Md Sc | Psychiatry & Neurology | 1430 N. Arlington Heights Road Suite 205, Arlington Heights, IL 60004 | 2014-04-07 |
| 1891123329 | Dana Portman | Pharmacist | 325 Palatine Road, Arlington Heights, IL 60004 | 2013-10-18 |
| Find all providers in zip 60004 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679684369 | Buffalo Grove Oral & Maxillofacial Surgery PC | Dentist | 3325 N Arlington Heights Road, Suite 600a, Arlington Heights, IL 60004 | 2006-08-31 |
| 1083040349 | Kent Shinozaki, Dds, P.C. | Dentist | 304 East Rand Road, Suite 200, Arlington Heights, IL 60004 | 2013-09-18 |
| 1013190933 | Herbert M Kanter | Dentist | 3325 N Arlington Heights Rd, Suite 600a, Arlington Heights, IL 60004-1582 | 2007-12-13 |
| 1801958673 | Stuart Dessner | Dentist | 3438 N Old Arlington Heights Rd, Arlington Heights, IL 60004 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255986576 | Othman Rezki | Dentist | 1900 W Polk St # 611, Chicago, IL 60612-3723 | 2019-08-04 |
| 1215410584 | David Peterson | Dentist | 1619 Brandywine Ln, Dixon, IL 61021-8757 | 2018-09-12 |
| 1952887374 | Winnebago Braces, LLC. | Dentist | 555 N Court St Ste 110, Rockford, IL 61103-6898 | 2018-07-18 |
| 1093232951 | Robert C. Bosack, Dds & Associates, Ltd | Dentist | 16011 108th Ave Ste A, Orland Park, IL 60467-8787 | 2017-08-23 |
| 1790146132 | Family Millennium Dentistry, Inc. | Dentist | 1342 W Randolph St, Chicago, IL 60607-1522 | 2016-03-13 |
| 1770962375 | Eunsu Jung | Dentist | 1902 N Prospect Ave Ste 1, Champaign, IL 61822-1411 | 2015-05-28 |
| 1811374945 | Alexandria Hawkins | Dentist | 6050 Brynwood Dr Ste 102, Rockford, IL 61114-6579 | 2015-04-27 |
| 1043607872 | Alissa Nicole Pullos | Dentist | 105 E 1st St Ste 103, Hinsdale, IL 60521 | 2015-04-20 |
| 1538592654 | Matthew Seena Hamedani | Dentist | 3116 Oak Park Ave, Berwyn, IL 60402 | 2013-08-13 |
| 1578907689 | M Timothy Murphy | Dentist | 500 Davis St Ste 509, Evanston, IL 60201-4621 | 2013-04-18 |
| Find all providers with the same taxonomy | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60004 |
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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.