DR. RENEE BALTHAZAR (NPI# 1891857009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891857009 |
Entity Type | Individual |
Full Name | DR. RENEE BALTHAZAR |
Credential | DDS MS |
Practice Address |
243 E Indian Trail Aurora IL 60505 |
Practice Telephone | 6308598353 |
Practice Fax Number | 6308962670 |
Mailing Telephone | 6308598353 |
Enumeration Date | 2006-12-14 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
IL | Dental Providers |
Street Address |
243 E INDIAN TRAIL |
City | AURORA |
State | IL |
Zip Code | 60505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538705330 | Johnathan Dunn | Counselor | 140 S. Lincoln Ave., Aurora, IL 60505 | 2019-11-27 |
1720638224 | Latanya Rush | Technician | 1664 Briarheath Dr, Aurora, IL 60505 | 2019-09-17 |
1285282103 | Susan Burroway | Technician | 815 Pearl St., Aurora, IL 60505 | 2019-09-04 |
1629624499 | Jean Amanda Nalwoga | Counselor | 1305 E New Indian Trail, Aurora, IL 60505 | 2019-08-16 |
1760987515 | Eric Raul Simental | Preventive Medicine | 1014 Claim St, Aurora, IL 60505 | 2018-03-26 |
1518408426 | Oluwole Michael Olubajo | Nurse's Aide | 716 Mountain Street, Apt#2e, Aurora, IL 60505 | 2017-03-10 |
1881017960 | Anthony Maranto | Counselor | 1305 E. Indian Trail Ct., Aurora, IL 60505 | 2014-01-27 |
1891121141 | Smithhealthcare Properties | Assisted Living Facility | 105 E Galena Bvld #3, Aurora, IL 60505 | 2013-09-18 |
1003253865 | Laura A Romero | Speech-Language Pathologist | 1770 Daisy St, Aurora, IL 60505 | 2013-06-03 |
1972878197 | Donald C. Kellner Dds-aurora PC | Dentist | 143 South Lincoln Ave, Suite A, Aurora, IL 60505 | 2012-03-21 |
Find all providers in zip 60505 |
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 |
---|---|---|---|---|
1891109765 | Chaitanya Prakash Puranik | Dentist | 13123 E 16th Ave Stop B240, Aurora, CO 80045 | 2014-06-18 |
1275781791 | Kristin M Christiansen | Dentist | 25521 E Smoky Hill Rd Unit 210, Aurora, CO 80016-1346 | 2008-09-09 |
1376702787 | Ticket To Smiles PC | Dentist | 12373 E Cornell Ave # 16, Aurora, CO 80014-3323 | 2008-06-02 |
1043375629 | Joanna M. Douglass | Dentist | 13123 E 16th Ave # B-240, Aurora, CO 80045-7106 | 2006-12-26 |
1528168713 | Karen Diane Foster | Dentist | 22986 E Smoky Hill Rd, Aurora, CO 80016-1382 | 2006-09-25 |
1801906672 | Jennifer Bryk Hechko | Dentist | 85 N Chillicothe Rd, Aurora, OH 44202-8739 | 2006-08-30 |
1922113794 | Roopa P Gandhi | Dentist | 13123 E 16th Ave # B240, Aurora, CO 80045-7106 | 2006-08-20 |
1639122997 | Ricardo Gonzalez | Dentist | 1780 N Farnsworth Ave, Aurora, IL 60505-1576 | 2006-05-18 |
1407831647 | Erin Lee Watts Carpenter | Dentist | 25521 East Smoky Hill Rd., Suite 210, Aurora, CO 80016 | 2005-12-09 |
1053319269 | Lucinda Ann Lewis | Dentist | 390 S Potomac Way, Aurora, CO 80012-2491 | 2005-07-12 |
Find all providers in AURORA |
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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.