UNIVERSITY DENTAL ASSOCIATES (NPI# 1962638817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962638817 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY DENTAL ASSOCIATES |
| Practice Address |
1424 E 53rd St Ste 28 Suite 209 Chicago IL 60615-4553 |
| Practice Telephone | 7733636009 |
| Mailing Telephone | 7733636009 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |
| Authorized Official Name | RAJAN SHARMA (OWNER) |
| Authorized Official Telephone | 7733636009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019-021911 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720497266 | University Dental Associates | Dentist | 5215 Old Orchard Rd Ste 200, Skokie, IL 60077-1041 | 2014-08-08 |
| 1467688614 | University Dental Associates | Dentist | 18213 Dixie Hwy, Homewood, IL 60430-2205 | 2009-06-02 |
| 1740429968 | University Dental Associates | Dentist | 1 E Scott St, Chicago, IL 60610-2372 | 2009-02-11 |
| 1780772301 | University Dental Associates | Dentist | 40th and Holdrege Street, Room 137, Lincoln, NE 68583-0740 | 2006-10-10 |
| 1699901546 | University Dental Associates | Dentist | 1585 Barrington Rd, Suite 301, Dr Building 2, Hoffman Estates, IL 60169-1090 | 2009-06-05 |
| 1841325271 | University Dental Associates | Dentist | 6319 Fairview Ave, #103, Westmont, IL 60559-2888 | 2007-02-23 |
| 1881774081 | University Dental Associates | Dentist | 4526 15th Ave Ne, Seattle, WA 98105-4507 | 2006-10-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | UNIVERSITY DENTAL ASSOCIATES | 34 N Prospect St, Burlington, VT 05401 |
| New York State Corporations | UNIVERSITY DENTAL ASSOCIATES, INC. | Suny At Buffalo, 210a Squire Hall, Buffalo, Ny 14214 |
| Massachusetts Corporations | UNIVERSITY DENTAL ASSOCIATES, INC. | 57 J.f. Kennedy St., Cambridge, MA 02138 |
| Street Address |
1424 E 53RD ST STE 28 SUITE 209 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-4553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1679181895 | Robert J Chacon | Dentist | 15 S Throop St Apt 206, Chicago, IL 60607-2522 | 2020-07-14 |
| 1629693304 | Priyanka Sikka | Dentist | 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 | 2020-06-09 |
| 1164045456 | Yong Chang Dds PC. | Dentist | 3531 N Western Ave Unit B, Chicago, IL 60618-6025 | 2020-05-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1831749944 | Kenwood Dental Group | Dentist | 1335 E 87th St Ste A, Chicago, IL 60619-7036 | 2019-09-19 |
| 1508412875 | Kamal Paresh Patel | Dentist | 1040 W Randolph St, Chicago, IL 60607-2215 | 2019-08-13 |
| 1003469636 | Ahmed Mansour | Dentist | 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 | 2019-07-23 |
| 1568024925 | John Michael Burnheimer II | Dentist | 11 S Green St Unit 1106, Chicago, IL 60607-1031 | 2019-07-05 |
| 1497317515 | Prasanth Dommaraju | Dentist | 3924 S Archer Ave, Chicago, IL 60632-1116 | 2019-06-29 |
| Find all providers in CHICAGO | ||||
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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.