BREESE DENTAL CARE, PC


Address: 111 N Main St, Breese, IL 62230-1629
Phone: 6185262020

BREESE DENTAL CARE, PC (NPI# 1942753215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942753215
Entity Type Organization
Organization Name BREESE DENTAL CARE, PC
Practice Address 111 N Main St
Breese
IL 62230-1629
Practice Telephone 6185262020
Practice Fax Number 6185268330
Mailing Telephone 6185262020
Mailing Fax Number 6185268330
Enumeration Date 2016-08-03
Last Update Date 2016-08-03
Authorized Official Name DR. TIMOTHY HOWARD DROEGE (OWNER)
Authorized Official Telephone 6185262020
Authorized Official Credential D.M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
019020712 IL Ambulatory Health Care Facilities

Office Location

Street Address 111 N MAIN ST
City BREESE
State IL
Zip Code 62230-1629

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184009615 Kasey Santel Dentist 111 N Main St, Breese, IL 62230-1629 2015-07-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841738457 Coping 4 Kids Social Worker 900 N Walnut St., Breese, IL 62230 2017-02-02
1528505146 Danielle Mueller Licensed Practical Nurse 604 North Chestnut, Breese, IL 62230 2017-01-20
1104000561 Competitive Edge Sports Medicine Family Medicine 14160 Jamestown Rd, Breese, IL 62230 2007-12-20
1063606978 Clarkson Optometry Illinois PC Optometrist 103 Clintonian Plaza, Breese, IL 62230 2007-09-04
1013002658 St Josephs Hospital Breese of The Hospital Sisters of The Third Order Family Medicine 9401 Holy Cross Lane, Suite 112, Breese, IL 62230 2006-10-03
1730287434 Breese Dental Group PC. Dentist 9437 Holy Cross Ln., Breese, IL 62230 2006-09-20
1144328832 Joe Cao Truong Dentist 9437 Holy Cross Lane, Breese, IL 62230 2006-09-20
1356391155 Timothy H Droege Dentist 111 North Main, Breese, IL 62230 2006-05-11
1346206042 Thomas B Doyle Radiology 9515 Holy Cross Lane, Breese, IL 62230 2006-04-22
1346730561 Amanda Walden Nurse Practitioner 9401 Holy Cross Ln Ste 112, Breese, IL 62230 2018-05-14
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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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
1740889344 Nsp Dental LLC Clinic/Center 1900 Hollister Dr Ste 190, Libertyville, IL 60048-5283 2020-10-23
1285232827 Paul Doodes Dds Phd PC Clinic/Center 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137-6282 2020-10-15
1780290676 Great Smile Dental Pllc Clinic/Center 720 Osterman Ave Ste 304, Deerfield, IL 60015-4339 2020-09-16
1669087375 Naperville Smiles Dental Clinic/Center 8 W Gartner Rd Ste 124, Naperville, IL 60540-7549 2020-09-09
1649883364 Mark J Maly Estate Clinic/Center 103 S Main St # Po, Orangeville, IL 61060-9244 2020-08-24
1760094718 Stoffel and Tomazin Dental Associates, Ltd Clinic/Center 5718 W 35th St, Cicero, IL 60804-4222 2020-08-20
1215548771 Meda Dental II LLC Clinic/Center 2735 Hassert Blvd Ste 159, Naperville, IL 60564-5205 2020-08-10
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Competitor

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City BREESE
Zip Code 62230

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Dataset Information

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.

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