DR. CONSTANZA E FERNANDEZ GONZALEZ


Address: 3450 Lacey Rd, Dental Institute, Downers Grove, IL 60515
Phone: 6305157350

DR. CONSTANZA E FERNANDEZ GONZALEZ (NPI# 1801314505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801314505
Entity Type Individual
Full Name DR. CONSTANZA E FERNANDEZ GONZALEZ
Credential DDS, PHD
Practice Address 3450 Lacey Rd
Dental Institute
Downers Grove
IL 60515
Mailing Address 555 31st Street
Science Hall, Suite 211 P
Downers Grove
IL 60515
Practice Telephone 6305157350
Practice Fax Number 6305157290
Mailing Telephone 6305157350
Mailing Fax Number 6305157290
Enumeration Date 2017-09-01
Last Update Date 2017-09-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 136.000221 IL Dental Providers

Office Location

Street Address 3450 LACEY RD
DENTAL INSTITUTE
City DOWNERS GROVE
State IL
Zip Code 60515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982685707 Rebecca Siscel Dentist 3450 Lacey Rd, Downers Grove, IL 60515-5430 2005-11-09
1376187559 Meredith S Saletta Speech-Language Pathologist 3450 Lacey Rd, Downers Grove, IL 60515-5430 2019-10-31
1356818041 Drauseo T Speratti Dentist 3450 Lacey Rd, Downers Grove, IL 60515-5430 2018-10-31
1215428222 Vakishan Nadarajah Optometrist 3450 Lacey Rd, Downers Grove, IL 60515-5430 2018-05-24
1336639723 Abbey Leigh Richeson Speech-Language Pathologist 3450 Lacey Rd, Downers Grove, IL 60515-5430 2018-05-11
1245739481 Midwestern University Physical Therapist 3450 Lacey Rd, Downers Grove, IL 60515-5430 2018-02-02
1538667381 Cynthia L Ward Speech-Language Pathologist 3450 Lacey Rd, Downers Grove, IL 60515-5430 2018-01-26
1447779442 Kristin L Adams Optometrist 3450 Lacey Rd, Downers Grove, IL 60515-5430 2017-09-12
1275057630 Hye Seon Yoo Optometrist 3450 Lacey Rd, Downers Grove, IL 60515-5430 2017-07-27
1467973396 Clinton Roger Prestwich Optometrist 3450 Lacey Rd, Downers Grove, IL 60515-5430 2017-06-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811594906 Everyday Empowered Clinical Services, Ltd. Community/Behavioral Health 5117 Main St, Suite #7, Downers Grove, IL 60515 2020-10-02
1588122568 Jennifer Solis-english Family Medicine Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 2019-03-07
1679039358 Remedi Seniorcare of Chicago, LLC Pharmacy 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 2019-02-18
1639651094 Ann Marie Olson Occupational Therapy Assistant 3450 Saratoga Ave., Downers Grove, IL 60515 2018-09-02
1598242802 Angela Gathings Nurse Practitioner 1020 31st St, Downers Grove, IL 60515 2018-07-20
1013408194 Amer Shammaa Dentist 1008 Braemoor Dr, Downers Grove, IL 60515 2018-05-23
1174020994 Leslie A Kula-leitner Social Worker Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 2018-04-09
1588176390 Tammy Marie Tunac Counselor 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 2017-11-02
1366976466 Giannasi Mental Health Counselors Counselor 921 Curtiss Street, Downers Grove, IL 60515 2017-04-14
1194258079 Alyssa Stylski Dentist 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 2017-04-06
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215436498 Moataz Salah Dentist 5540 Walnut Ave Apt 14c, Downers Grove, IL 60515-4127 2018-02-02
1548710536 Ke Xu Dentist 20w410 Cobb Ct, Downers Grove, IL 60516-5156 2016-10-13
1154774891 Brittany Nichols Dentist 835 Curtiss St, Apt 102, Downers Grove, IL 60515-4734 2016-07-18
1407193071 Ignacio Christian Marquez Correa Dentist 555 31st Street, Downers Grove, IL 60515 2013-01-15
1982998845 Navreet Kaur Dentist 7335 Lemont Rd, Downers Grove, IL 60516-3808 2011-06-07
1649504218 John F Kaminski Dentist 938 Warren, Downers Grove, IL 60515 2009-09-29
1013155563 Brian Paul Del Carlo Dentist 5010 Fairview Avenue, #4, Downers Grove, IL 60515 2009-01-21
1619133345 Yolanda Ann Madison Dentist 5151 Mochel Dr, Suite 300, Downers Grove, IL 60515-5076 2008-08-01
1750545083 Joseph Edward Kizior Dentist 4326 Prince St, Downers Grove, IL 60515 2008-07-16
1992984694 Zhaomin Huang Dmd PC Dentist 5632 Walnut Ave Apt 1a, Downers Grove, IL 60516-1069 2007-10-30
Find all providers in DOWNERS GROVE

Competitor

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City DOWNERS GROVE
Zip Code 60515

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Dataset Information

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.

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