DEXTER DENTAL 2 LLC (NPI# 1780967828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780967828 |
| Entity Type | Organization |
| Organization Name | DEXTER DENTAL 2 LLC |
| Other Organization Name | FAMILIA DENTAL |
| Practice Address |
47 Clock Tower Plz Elgin IL 60120-7800 |
| Mailing Address |
2050 E Algonquin Rd Suite 610 Schaumburg IL 60173-4144 |
| Practice Telephone | 8889884066 |
| Practice Fax Number | 8474967202 |
| Mailing Telephone | 8889884066 |
| Mailing Fax Number | 8474967202 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |
| Authorized Official Name | DR. KOUSHAN H AZAD (PRESIDENT) |
| Authorized Official Telephone | 8889884066 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019026920 | IL | Dental Providers |
| Other Name | Type Code |
|---|---|
| FAMILIA DENTAL | Doing Business As Name - Organization |
| Street Address |
47 CLOCK TOWER PLZ |
| City | ELGIN |
| State | IL |
| Zip Code | 60120-7800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164047858 | Alex Lee | Dentist | 47 Clock Tower Plz, Elgin, IL 60120-7800 | 2020-06-09 |
| 1184248213 | Hossam Abdelsalam | Dentist | 47 Clock Tower Plz, Elgin, IL 60120-7800 | 2020-06-04 |
| 1013434836 | Shuo Yan | Dentist | 47 Clock Tower Plz, Elgin, IL 60120-7800 | 2017-08-23 |
| 1104343060 | Jase Kaui Chun | Dentist | 47 Clock Tower Plz, Elgin, IL 60120-7800 | 2017-08-23 |
| 1649688920 | Shabnaaz Kamal | Dentist | 47 Clock Tower Plz, Elgin, IL 60120-7800 | 2014-07-30 |
| 1750794152 | Abdelrahman Salem | Dentist | 47 Clock Tower Plz, Elgin, IL 60120 | 2014-06-04 |
| 1659711984 | Lakshmi Uppala | Dentist | 47 Clock Tower Plz, Elgin, IL 60120-7800 | 2013-07-01 |
| 1730429804 | Chi Woisetschlaeger | Dentist | 47 Clock Tower Plz, Elgin, IL 60120-7800 | 2013-02-26 |
| 1871850511 | Dexter Dental 3 LLC | Dentist | 47 Clock Tower Plz, Elgin, IL 60120-7800 | 2012-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391749 | Kids Above All | Clinic/Center | United Methodist Church, 651 Lillie Street, Elgin, IL 60120 | 2018-09-28 |
| 1215483979 | Kelly Fetherling | Social Worker | 6912 S Main St., Elgin, IL 60120 | 2016-08-31 |
| 1164870457 | Peter Norton | Pharmacist | 1038 Summit Street, Elgin, IL 60120 | 2016-05-27 |
| 1417316373 | Beverly Brewster | Counselor | 675 Varsity Dr., Elgin, IL 60120 | 2016-02-19 |
| 1407194780 | Well Baby Care PC | Pediatrics | 1185-87 Dundee Avenue, Suite A-2, Elgin, IL 60120 | 2013-01-22 |
| 1740533546 | Vna Health Care | Clinic/Center | 801 Villa Street, Elgin, IL 60120 | 2012-10-18 |
| 1457638934 | Sharon Rose Nemenzo Araneta | Physical Therapist | 795 Summit St, Elgin, IL 60120 | 2011-11-10 |
| 1770866451 | Claudette M Vanhessen | Pharmacist | 815 Summit Street, Elgin, IL 60120 | 2011-09-20 |
| 1083993430 | Monica J. Fudala | Family Medicine | 820 Summit St # B4, Elgin, IL 60120 | 2011-08-16 |
| 1144517830 | Complete Care Medical Center, S.c | Family Medicine | 373 Summit St Ste 100, Elgin, IL 60120 | 2011-07-01 |
| Find all providers in zip 60120 | ||||
| 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 |
|---|---|---|---|---|
| 1124682190 | Elgin Amazing Dental LLC | Dentist | 229 National St, Elgin, IL 60120-7816 | 2019-04-25 |
| 1205320702 | Nabeela Khan | Dentist | 795 Summit St Unit A, Elgin, IL 60120-4313 | 2018-06-18 |
| 1215433347 | Amanda Frankel | Dentist | 1640 Capital St Ste 500, Elgin, IL 60124-8078 | 2018-04-05 |
| 1336596493 | Anita Nepal Thapa | Dentist | 910 Lee Dildy Blvd, 260, Elgin, TX 78621 | 2016-05-18 |
| 1447658497 | Dalvina S Sharma | Dentist | 344 Shadow Hill Dr, Elgin, IL 60124-3815 | 2014-12-08 |
| 1548675358 | Kali Gray | Dentist | 1400 Division Street, Elgin, OR 97827 | 2014-07-01 |
| 1457792640 | Rubina D Nguyen | Dentist | 500 N Mclean Blvd Ste 102, Elgin, IL 60123-3275 | 2013-07-16 |
| 1548606841 | Elisha Mayes, Dds, PC | Dentist | 570 S. 8th Ave, Elgin, OR 97827 | 2013-05-14 |
| 1487902615 | Alan Merlin Polse | Dentist | 2000 Larkin Ave Suite 102, Elgin, IL 60123 | 2012-08-20 |
| 1659647535 | Bowes Dental Care | Dentist | 2375 Bowes Dental Care, Suite #200, Elgin, IL 60123 | 2012-03-26 |
| Find all providers in ELGIN | ||||
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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.