DR. RUSSELL P PESAVENTO (NPI# 1861933137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861933137 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL P PESAVENTO |
| Credential | DDS |
| Practice Address |
1118 N Larkin Ave Joliet IL 60435-3456 |
| Practice Telephone | 8157142271 |
| Mailing Telephone | 8157142271 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019.030884 | IL | Dental Providers |
| Street Address |
1118 N LARKIN AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225103955 | Thomas J. Maurice | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2006-11-21 |
| 1821311689 | Nash Upper Cervical Chiropractic | Chiropractor | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2010-03-09 |
| 1477883270 | Scott A. Soderquist | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2009-12-30 |
| 1922338730 | Michael V. Casey | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2009-12-30 |
| 1740510551 | Henry J. Bratcher | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2009-12-30 |
| 1942450275 | Ginger Ann Christian | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2008-09-23 |
| 1891945416 | William F. Bevan IIi | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2008-09-19 |
| 1366605370 | David Cortopassi | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2008-07-09 |
| 1609043926 | Brett N Nash | Chiropractor | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2008-05-15 |
| 1033399092 | Alan Carl Eckman | Dentist | 1118 N Larkin Ave, Joliet, IL 60435-3456 | 2007-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| 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 |
|---|---|---|---|---|
| 1437796018 | Everyone's Family Dental Normal LLC | Dentist | 2410 W Jefferson St # 108, Joliet, IL 60435-6449 | 2019-12-03 |
| 1285138776 | Smile League Dental | Dentist | 3587 Hennepin Dr # D, Joliet, IL 60431-9205 | 2018-03-20 |
| 1083134035 | Krupa M Patel | Dentist | 832 Plainfield Rd, Joliet, IL 60435-4643 | 2017-06-21 |
| 1295255487 | Morolayo Oluyemi | Dentist | 3587 Hennepin Dr Ste D, Joliet, IL 60431-9205 | 2017-06-20 |
| 1083065635 | Laura Shim | Dentist | 692 Essington Rd Unit A, Joliet, IL 60435-4903 | 2016-06-24 |
| 1679904171 | Kalpana T. Shah, Dmd, PC | Dentist | 1000 W Jefferson St, 101, Joliet, IL 60435-6812 | 2013-12-09 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1548571086 | Nicole L Graves | Dentist | 1001 Neufairfield Dr, Joliet, IL 60432-0736 | 2010-06-30 |
| 1538491279 | Thomas Raymond Kane | Dentist | 1308 W. Jefferson St., Joliet, IL 60435 | 2010-02-05 |
| 1871728634 | Sal Dental, P.C. | Dentist | 2239 W Jefferson St, Suite #104-105/a-b, Joliet, IL 60435-6303 | 2009-05-22 |
| Find all providers in JOLIET | ||||
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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.