DR. KERI ANNE EBERHARDT (NPI# 1841711579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841711579 |
| Entity Type | Individual |
| Full Name | DR. KERI ANNE EBERHARDT |
| Credential | DDS |
| Practice Address |
820 Laraway Rd New Lenox IL 60451 |
| Mailing Address |
820 Laraway Rd New Lenox IL 60451-2694 |
| Practice Telephone | 8155246000 |
| Mailing Telephone | 8155246000 |
| Mailing Fax Number | 8152718389 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2018-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019031469 | IL | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
S8062 | FL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9200 113th St, Seminole, FL 337722800 | 7273946062 |
| Street Address |
820 LARAWAY RD |
| City | NEW LENOX |
| State | IL |
| Zip Code | 60451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932334695 | Paul Edward Etchison | Dentist | 820 Laraway Rd, New Lenox, IL 60451-2694 | 2009-05-26 |
| 1306111349 | Nelson Ridge Family Dental | Clinic/Center | 820 Laraway Rd, New Lenox, IL 60451-2694 | 2012-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
| 1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
| 1093204778 | New Lenox Anesthesia LLC | Anesthesiology | 678 Cedar Crossing Dr, New Lenox, IL 60451 | 2018-05-08 |
| 1578068698 | My Medicar | Non-emergency Medical Transport (VAN) | 21625 S. Schoolhouse Rd, New Lenox, IL 60451 | 2018-03-29 |
| 1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
| 1063947422 | Silver Cross Ambulatory Surgery Center, LLC | Clinic/Center | 1003 Pawlak Parkway, New Lenox, IL 60451 | 2017-04-24 |
| 1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
| 1295105484 | Alison Elaine Burchardt | Nurse Practitioner | 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 | 2015-09-30 |
| 1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
| 1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
| Find all providers in zip 60451 | ||||
| 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 |
|---|---|---|---|---|
| 1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
| 1619458148 | Vikas Beri | Dentist | 2073 E Laraway Rd, New Lenox, IL 60451-9507 | 2018-08-23 |
| 1881083004 | Nicole Graves, Dds, PC | Dentist | 424 E Lincoln Hwy, New Lenox, IL 60451-1910 | 2015-01-12 |
| 1144478140 | Leesa Ann Sasic-mitsos | Dentist | 1804 E Lincoln Hwy, New Lenox, IL 60451 | 2008-09-03 |
| 1750498911 | Glen J Kulig | Dentist | 500 W Maple, Ste 202, New Lenox, IL 60451 | 2006-08-24 |
| 1083108468 | Brian Song | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451-1909 | 2018-06-19 |
| 1568987766 | Janna Lee Mitsos | Dentist | 1804 E Lincoln Hwy, New Lenox, IL 60451-3863 | 2017-08-08 |
| 1184167363 | Joseph Alan Dougherty | Dentist | 500 Central Rd, New Lenox, IL 60451-3308 | 2016-11-21 |
| 1790138774 | Mitchell Gruzmark | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451-1909 | 2016-07-14 |
| 1538557699 | Dental Xperts, LLC | Dentist | 410 E Lincoln Hwy, Healing Arts Pavilion, Suite 100, New Lenox, IL 60451-1975 | 2014-12-24 |
| Find all providers in NEW LENOX | ||||
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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.