PEDIATRIC DENTAL SPECIALISTS (NPI# 1801268305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801268305 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTAL SPECIALISTS |
| Practice Address |
6305 W 95th St Oak Lawn IL 60453-2255 |
| Practice Telephone | 7084241300 |
| Mailing Telephone | 7084241300 |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-23 |
| Authorized Official Name | DR. JANICE A LUBAS (SECRETARY) |
| Authorized Official Telephone | 7084241300 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
019020526 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558532028 | Pediatric Dental Specialists | Dentist | 1540 S Main St, Suite C, Greenville, MS 38701-7055 | 2008-03-12 |
| 1124299284 | Pediatric Dental Specialists | Dentist | 31560 Schoolcraft Rd, Livonia, MI 48150-1805 | 2008-03-17 |
| 1730209974 | Pediatric Dental Specialists | Dentist | 2700 Grand Ave, Suite B, Billings, MT 59102-2680 | 2007-03-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Pediatric Dental Specialists of Montrose, PLLC | 2466 Highway 6 and 50 Ste 3, Grand Junction, CO 81505 |
| Colorado Business Entities | Pediatric Dental Specialists of Western Colorado, PLLP | 2466 Hwy 6 and 50, Unit #3, Grand Junction, CO 81055 |
| Street Address |
6305 W 95TH ST |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871696922 | William Gustav Flick | Dentist | 6305 W 95th St, Suite 301, Oak Lawn, IL 60453-2255 | 2006-09-06 |
| 1427233170 | Tom Trikolas Dds PC | Dentist | 6305 W 95th St, Oak Lawn, IL 60453-2255 | 2007-12-31 |
| 1215123187 | Southwest Oral Surgeons,p.c. | Dentist | 6305 W 95th St, 3rd Floor, Oak Lawn, IL 60453-2255 | 2007-09-24 |
| 1194943852 | Richard J. Rozich | Chiropractor | 6305 W 95th St, Suite 310, Oak Lawn, IL 60453-2255 | 2007-04-20 |
| 1982738829 | Janice A Lubas | Dentist | 6305 W 95th St, Oak Lawn, IL 60453-2255 | 2007-03-15 |
| 1821122680 | Richard J Cahill | Dentist | 6305 W 95th St, Oak Lawn, IL 60453-2255 | 2007-03-15 |
| 1194881474 | Tom Trikolas | Dentist | 6305 W 95th St, Oak Lawn, IL 60453-2255 | 2006-12-29 |
| 1265516553 | Dennis Paul Morris | Dentist | 6305 W 95th St, Oak Lawn, IL 60453-2255 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871045302 | C.j.neal Dds, Ltd | Dentist | 4647 W 103rd St, #1m, Oak Lawn, IL 60453-4779 | 2016-11-01 |
| 1447673777 | Metro Kidz Dental, PC | Dentist | 4710 W 95th St, Unit B10, Oak Lawn, IL 60453-2546 | 2014-01-22 |
| 1982738829 | Janice A Lubas | Dentist | 6305 W 95th St, Oak Lawn, IL 60453-2255 | 2007-03-15 |
| 1821122680 | Richard J Cahill | Dentist | 6305 W 95th St, Oak Lawn, IL 60453-2255 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709433 | Children's Center for Dentistry | Dentist | 314 Susan Dr, Normal, IL 61761-6206 | 2020-10-26 |
| 1073125746 | Jessica Mattern Dds, Pllc | Dentist | 326 W Burlington Ave, La Grange, IL 60525-2363 | 2020-08-23 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1710450754 | Drs Selberg & Rice Pllc | Dentist | 4945 Stone Falls Ctr Ste B, O Fallon, IL 62269-7801 | 2019-01-02 |
| 1821583634 | Dentalgenix | Dentist | 113 E Schaumburg Rd, Schaumburg, IL 60194-3518 | 2018-06-25 |
| 1528562253 | Rachel Vorwaller | Dentist | 1460 N Halsted St Ste 403, Chicago, IL 60642-2607 | 2018-03-19 |
| 1942740006 | Dhwani M. Joshi | Dentist | 195 S Rand Rd Ste 110, Lake Zurich, IL 60047-2205 | 2017-03-08 |
| 1316393390 | Erin Marie Petrik | Dentist | 2530 N Clark St, Apt 203, Chicago, IL 60614-4972 | 2016-05-10 |
| 1669839593 | Algonquin Kids Dentistry, Inc | Dentist | 4097 W Algonquin Rd, Algonquin, IL 60102-9401 | 2016-01-22 |
| 1720468598 | Mehedia Haque | Dentist | 2062 N Milwaukee Ave, Chicago, IL 60647 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
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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.