GALESBURG DENTAL CARE (NPI# 1912351446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912351446 |
| Entity Type | Organization |
| Organization Name | GALESBURG DENTAL CARE |
| Practice Address |
357 E Michigan Ave Galesburg MI 49053-9763 |
| Practice Telephone | 2696659997 |
| Practice Fax Number | 2696655088 |
| Mailing Telephone | 2696659997 |
| Mailing Fax Number | 2696655088 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-12-30 |
| Authorized Official Name | DR. SHADI KHILLAH (DENTIST) |
| Authorized Official Telephone | 2698064704 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
2901021326 | MI | Ambulatory Health Care Facilities |
| Street Address |
357 E MICHIGAN AVE |
| City | GALESBURG |
| State | MI |
| Zip Code | 49053-9763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124433396 | Shadi Rady Khillah | Dentist | 357 E Michigan Ave, Galesburg, MI 49053-9763 | 2014-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497240162 | Ella Philander | Assistant Behavior Analyst | 5370 N 37th St, Galesburg, MI 49053 | 2018-06-26 |
| 1992098404 | Terry Ray Walker | Pharmacist | 9880 E. Michigan Ave, Galesburg, MI 49053 | 2011-05-17 |
| 1144746637 | Richard Alvin Finedell Jr. | Nurse Practitioner | 10310 Miller Dr, Galesburg, MI 49053 | 2017-08-17 |
| 1801900121 | Judy J Mitchelson | Physician Assistant | 10310 Miller Dr, Galesburg, MI 49053 | 2006-08-17 |
| 1306071634 | Amy Kay Embury | Psychologist | 9673 Candytuft, Galesburg, MI 49053-7724 | 2009-05-15 |
| 1134579378 | Nicole Tijerina | Technician, Other | 8396 Doe Ave, Galesburg, MI 49053-7742 | 2016-06-19 |
| 1700038684 | James C Breneman | Allergy & Immunology | 10571 Miller Dr, Galesburg, MI 49053-8607 | 2008-10-22 |
| 1467098202 | Nicole Marie Conway | Nurse Practitioner | 9880 E Michigan Ave # 100, Galesburg, MI 49053-8641 | 2019-11-26 |
| 1790892305 | Leon B Papendick | Physician Assistant | 9880 E Michigan Ave, Suite 100, Galesburg, MI 49053-8641 | 2006-08-23 |
| 1467673525 | The Doctors Group | Family Medicine | 9880 E Michigan Ave, Suite 100, Galesburg, MI 49053-8641 | 2007-05-02 |
| Find all providers in zip 49053 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689131559 | Knox Family Orthodontics LLC | Clinic/Center | 506 Knox Square Dr Ste 10, Galesburg, IL 61401-8663 | 2019-02-26 |
| 1053893586 | Knox Family Dental LLC | Clinic/Center | 1172 Monroe St Ste 7, Galesburg, IL 61401-2554 | 2018-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821216 | Inspired Family Dental Care | Clinic/Center | 1685 Fairholme Rd, Grosse Pointe Woods, MI 48236-2368 | 2020-11-05 |
| 1376144261 | Right Choice Dental, PC | Clinic/Center | 475 Columbia Ave E Ste 5, Battle Creek, MI 49014-5461 | 2020-11-05 |
| 1669073813 | Thomas M Smith, Dds, Plc | Clinic/Center | 755 Seminole Rd Ste 103, Norton Shores, MI 49441-6561 | 2020-11-04 |
| 1235739533 | Randy J Breen Dds Pllc | Clinic/Center | 2460 Burton St Se Ste 201, Grand Rapids, MI 49546-4800 | 2020-10-27 |
| 1831798370 | Saline Dental Care, Pllc | Clinic/Center | 150 Judd Rd, Milan, MI 48160-9584 | 2020-10-24 |
| 1235738113 | David Sorial Dds PC | Clinic/Center | 14755 Northline Rd, Southgate, MI 48195-2407 | 2020-10-21 |
| 1598363970 | Steven M Moss Dds PC | Clinic/Center | 37625 Ann Arbor Rd Ste 108, Livonia, MI 48150-2400 | 2020-10-16 |
| 1700484375 | Troy Cosmetic and Implant Dental Center Pllc | Clinic/Center | 4770 Rochester Rd Ste 106, Troy, MI 48085-4951 | 2020-10-15 |
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1245837806 | Kendall J Lee Dds Pllc | Clinic/Center | 111 S Howell St, Hillsdale, MI 49242-1873 | 2020-10-07 |
| 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.