REVOLUTION DENTAL (NPI# 1932671708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932671708 |
| Entity Type | Organization |
| Organization Name | REVOLUTION DENTAL |
| Practice Address |
113 E Schaumburg Rd Schaumburg IL 60194-3518 |
| Mailing Address |
456 Ida Pl Glencoe IL 60022-1913 |
| Practice Telephone | 8473011818 |
| Mailing Telephone | 3124986160 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | DR. CARL ALEXANDER-MUTTER LEONARD (OWNER) |
| Authorized Official Telephone | 3124986160 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Revolution Dentistry | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 480 Briargate Dr, South Elgin, IL 601772225 | 8478411818 |
| Street Address |
113 E SCHAUMBURG RD |
| City | SCHAUMBURG |
| State | IL |
| Zip Code | 60194-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583634 | Dentalgenix | Dentist | 113 E Schaumburg Rd, Schaumburg, IL 60194-3518 | 2018-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664812 | Alesandra Doughty | Physical Therapist | Schaumburg School District, 524 E Schaumburg Rd, Schaumburg, IL 60194 | 2020-09-21 |
| 1528538600 | Vital Signs Wellness, LLC | Case Management | 744 Leslie Lane, Schaumburg, IL 60194 | 2018-11-30 |
| 1356866958 | Integral Medical & Rehabilitation, S.c | Chiropractor | 399 Glen Byrn Ct, Schaumburg, IL 60194 | 2017-08-04 |
| 1508389883 | Andria Burris | Speech-Language Pathologist | 55 E Schaumburg Rd, Schaumburg, IL 60194 | 2017-07-19 |
| 1598286510 | S&t Medical Group Ltd | Clinic/Center | 1375 E Schaumburg Rd #120, Schaumburd, IL 60194 | 2017-06-29 |
| 1629525126 | Tracy Haut | Dental Hygienist | 131 Bright Ridge Dr, Schaumburg, IL 60194 | 2016-09-01 |
| 1447655733 | Isabell Ciszewski | Counselor | 118 Cumberland Dr, Schaumburg, IL 60194 | 2014-10-29 |
| 1902246317 | Ketty Esther Cruz | Behavioral Analyst | 1901 Finchley Ct, Schaumburg, IL 60194 | 2013-06-29 |
| 1184978983 | For Eyes Optical | Eyewear Supplier (Equipment, not the service) | 2606 W Schaumburg Road, Schaumburg, IL 60194 | 2012-10-31 |
| 1396075206 | Scharrington Dental PC | Dentist | 2505 W. Schaumburg Rd., Schaumburg, IL 60194 | 2009-12-29 |
| Find all providers in zip 60194 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750031 | Secure Dental Xi | Clinic/Center | 1843 W Golf Rd, Schaumburg, IL 60194-1148 | 2020-11-02 |
| 1780283267 | Jenna Gaw, Dds, Pllc | Clinic/Center | 1724 Locust Pl Apt 303, Schaumburg, IL 60173-4239 | 2020-10-26 |
| 1366941544 | Prime Dental Care | Clinic/Center | 178 E Golf Rd, Schaumburg, IL 60173-3726 | 2018-02-02 |
| 1366612889 | Schaumburg Dental Care, PC | Clinic/Center | 932 Bode Rd, Schaumburg, IL 60194-2702 | 2008-03-12 |
| 1881703403 | Mark A. Ferrari D.d.s., Ltd. | Clinic/Center | 1901 N Roselle Rd, Suite 330, Schaumburg, IL 60195-3176 | 2006-08-29 |
| 1851318588 | Harry J. Kiriluk Dds Ltd | Clinic/Center | 1622 E Algonquin Rd, Suite C, Schaumburg, IL 60173-4191 | 2006-07-17 |
| 1467450783 | Drs. Nelson and Gary Dental Assoc. Lta | Clinic/Center | 1443 W Schaumburg Rd, Ste 102, Schaumburg, IL 60194-4065 | 2005-07-11 |
| 1275162414 | Vl Dental Care IIi | Clinic/Center | 2215 W Schaumburg Rd, Schaumburg, IL 60194-3891 | 2020-04-08 |
| 1699335760 | High Point Dentistry Schaumburg Pllc | Clinic/Center | 2505 W Schaumburg Rd, Schaumburg, IL 60194-3887 | 2019-06-19 |
| 1093296857 | Salem Dental, P.C. | Clinic/Center | 1061 N Salem Dr, Schaumburg, IL 60194-1331 | 2018-08-28 |
| Find all providers in SCHAUMBURG | ||||
| City | SCHAUMBURG |
| Zip Code | 60194 |
Please comment or provide details below to improve the information on REVOLUTION DENTAL.
| 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.