DONALD C. KELLNER DDS-AURORA PC (NPI# 1972878197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972878197 |
| Entity Type | Organization |
| Organization Name | DONALD C. KELLNER DDS-AURORA PC |
| Practice Address |
143 South Lincoln Ave Suite A Aurora IL 60505 |
| Practice Telephone | 6308593151 |
| Practice Fax Number | 6308510105 |
| Mailing Telephone | 6308593151 |
| Mailing Fax Number | 6308590105 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |
| Authorized Official Name | DR. DONALD C. KELLNER (OWNER/DENTIST) |
| Authorized Official Telephone | 6308593151 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | DONALD C. KELLNER DDS-AURORA PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 019028094 | IL | Dental Providers |
| N | 122300000X | Dentist | 019024905 | IL | Dental Providers |
| Y | 122300000X | Dentist | 019017632 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 019017632 | 05 |
| Street Address |
143 SOUTH LINCOLN AVE SUITE A |
| 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 |
| 1629348180 | Kimberly E Delles | Social Worker | 714 Jackson St, Aurora, IL 60505 | 2011-12-30 |
| Find all providers in zip 60505 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086252 | Chancy Hanquist | Dentist | 1830 E Condon Ave, Aurora, NE 68818-3135 | 2020-09-02 |
| 1376169714 | Puneet Kaur Pandher | Dentist | 13650 E Colfax Ave Apt 3115, Aurora, CO 80011-6989 | 2020-06-22 |
| 1043835648 | Kelli Williams | Dentist | 3162 S Hannibal St, Aurora, CO 80013-1750 | 2020-06-10 |
| 1588288062 | Lynn Doan | Dentist | 12357 E Cornell Ave Unit 10, Aurora, CO 80014-3323 | 2020-06-01 |
| 1447895255 | Aurora Dentist Office and Orthodontics, LLP | Dentist | 12101 E Dartmouth Ave Ste 200, Aurora, CO 80014-4948 | 2019-11-15 |
| 1942843420 | Palak M Shah | Dentist | 1261 N Lake St Ste J, Aurora, IL 60506-2471 | 2019-10-28 |
| 1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
| 1518515162 | Manju Suresh | Dentist | 1264a N Lake St, Aurora, IL 60506-2453 | 2019-08-27 |
| 1346801958 | Gabrielle Brandt | Dentist | 25791 E Smoky Hill Rd Unit 10, Aurora, CO 80016-1793 | 2019-06-25 |
| 1649831546 | Kevin Smith | Dentist | 5657 S Himalaya St Ste 270, Aurora, CO 80015-5310 | 2019-06-22 |
| 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.