1ST FAMILY DENTAL OF ADDISON PC (NPI# 1801254545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801254545 |
| Entity Type | Organization |
| Organization Name | 1ST FAMILY DENTAL OF ADDISON PC |
| Practice Address |
120 E Lake St Addison IL 60101-2821 |
| Mailing Address |
4901 N Kedzie Ave Chicago IL 60625-5009 |
| Practice Telephone | 6308338888 |
| Practice Fax Number | 6308338880 |
| Mailing Telephone | 7733408318 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | VESNA BELKIC (COO) |
| Authorized Official Telephone | 7733408318 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
120 E LAKE ST |
| City | ADDISON |
| State | IL |
| Zip Code | 60101-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740325539 | Anthony F Morelli | Dentist | 120 E Lake St, Addison, IL 60101-2821 | 2007-02-20 |
| 1457834723 | Riyad Y Nouna | Dentist | 120 E Lake St, Addison, IL 60101-2821 | 2018-09-12 |
| 1477724870 | Dental Profile 2 | Dentist | 120 E Lake St, Addison, IL 60101-2821 | 2008-03-13 |
| 1720275514 | Preeti Manish Sawlani | Dentist | 120 E Lake St, Addison, IL 60101-2821 | 2007-09-26 |
| 1861529091 | Aamir Wahab | Dentist | 120 E Lake St, Addison, IL 60101-2821 | 2007-02-27 |
| 1558497081 | Scott Thayer Walkinshaw | Dentist | 120 E Lake St, Addison, IL 60101-2821 | 2007-02-26 |
| 1205971900 | Neha S Sheth | Dentist | 120 E Lake St, Addison, IL 60101-2821 | 2007-02-20 |
| 1316082100 | Yasmin D Kanani | Dentist | 120 E Lake St, Addison, IL 60101-2821 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445800 | Allure Skin and Laser | Nurse Practitioner | 240 E Lake Street, Addison, IL 60101 | 2017-02-10 |
| 1912444662 | Iulia Kaulinite | Registered Nurse | 1845 East Army Trail Road, Addison, IL 60101 | 2017-01-19 |
| 1164891727 | Sonic Imaging Inc | Clinic/Center | 4n277 9th Ave, Addison, IL 60101 | 2015-09-24 |
| 1881001147 | Evelina Rodriguez | Interpreter | 102 S. Grant Drive, Addison, IL 60101 | 2014-07-18 |
| 1821426867 | Carrie Lyne M Mathiesen | Physical Medicine & Rehabilitation | 2375 S. Randall Rd, Algonquin, IL 60101 | 2013-10-30 |
| 1972949634 | Vascular Diagnostic LLC | Clinic/Center | 2166, W Silverleaf Ln, Addison, IL 60101 | 2013-05-21 |
| 1134401409 | Colleen Ann O'brien | Occupational Therapist | 222 North Kennedy Dr., Addison, IL 60101 | 2011-09-13 |
| 1962700096 | Pharma Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 970 Lake St Suite 109, Roselle, IL 60101 | 2011-03-15 |
| 1235372947 | Nancy M Ngo | Dentist | 200 W. Lake Street, Addison, IL 60101 | 2009-04-10 |
| 1326288275 | Familia Dental | Dentist | 200 West Lake Street, Addison, IL 60101 | 2009-03-04 |
| Find all providers in zip 60101 | ||||
| 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 |
|---|---|---|---|---|
| 1053799684 | Ideal Dental of Castle Hills Pllc | Dentist | 14285 Midway Rd Ste 160, Addison, TX 75001-3624 | 2015-05-15 |
| 1528452919 | Olga Selezneva | Dentist | 3990 Vitruvian Way Apt 415, Addison, TX 75001-4470 | 2015-03-24 |
| 1669806295 | Hyungchul Kim | Dentist | 3990 Vitruvian Way Apt 568, Addison, TX 75001-4172 | 2013-08-30 |
| 1154763498 | Soo Yun Lee | Dentist | 15801 Artist Way, Apt # 4208, Addison, TX 75001-6177 | 2013-07-29 |
| 1235372947 | Nancy M Ngo | Dentist | 200 W. Lake Street, Addison, IL 60101 | 2009-04-10 |
| 1366651515 | Roman & Ferchaw Pllc | Dentist | 138 Front Street, Addison, NY 14801 | 2007-05-22 |
| 1184718827 | Carolyn Marie Giannelli | Dentist | 601 W. Armytrail Rd, Suite D, Addison, IL 60101 | 2006-10-03 |
| 1679673834 | Jeremy W Bullock | Dentist | 3744 Belt Line Rd, Addison, TX 75001-4301 | 2006-09-25 |
| 1982707428 | Paul N Greico | Dentist | 1576 W Lake St, #102, Addison, IL 60101 | 2006-09-07 |
| 1386267094 | Faisal Malik | Dentist | 200 W Lake St, Addison, IL 60101-2513 | 2020-05-28 |
| Find all providers in ADDISON | ||||
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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.