SECURE DENTAL II (NPI# 1992048912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992048912 |
| Entity Type | Organization |
| Organization Name | SECURE DENTAL II |
| Practice Address |
4601 16th St Unit 12 Moline IL 61265-7000 |
| Mailing Address |
1695 Divine Dr Rockford IL 61107-5417 |
| Practice Telephone | 8157082762 |
| Mailing Telephone | 8157082762 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |
| Authorized Official Name | DR. NAZISH HASAN JAFRI (DENTIST) |
| Authorized Official Telephone | 8157082762 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019028807 | IL | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SECURE DENTAL II, LLC | 309 Brookstone Dr., East Peoria, IL 61611 |
| Street Address |
4601 16TH ST UNIT 12 |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840908 | Hogeun Chi | Dentist | 4601 16th St, Moline, IL 61265-7000 | 2018-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| 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 |
|---|---|---|---|---|
| 1245607209 | Mark Stephen Stumphy | Dentist | 3727 39th St, Moline, IL 61265-5407 | 2015-08-26 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| 1881966042 | Troy Roeder Dds PC | Dentist | 5030 38th Ave, Suite 1, Moline, IL 61265-6717 | 2012-02-03 |
| 1780832519 | Maura Josephine Vroman | Dentist | 2131 1st Street A, Moline, IL 61265-7745 | 2008-09-04 |
| 1376703264 | Rick Theuninck Leppo | Dentist | 1631 Avenue of The Cities, Moline, IL 61265-4856 | 2008-06-13 |
| 1417137142 | Jeffery Scott Doroba | Dentist | 518 19th Ave, Moline, IL 61265-3760 | 2007-11-09 |
| 1770792640 | Casey Patrick Kenney | Dentist | 4538 3rd St, Moline, IL 61265-6104 | 2007-05-21 |
| 1508086943 | Chad Joseph Versluis | Dentist | 3422 River Dr, Moline, IL 61265-1747 | 2007-04-26 |
| 1154451847 | G.a.prickett,d.d.s.,g.j.goebel,d.d.s.&g.a.solis,d.d.s.,ltd. | Dentist | 7017 John Deere Pkwy, Suite 2 B, Moline, IL 61265-8072 | 2007-03-06 |
| 1649305921 | Hawkeye Dental Creations | Dentist | 615 35th Avenue, Moline, IL 61265 | 2007-02-23 |
| Find all providers in MOLINE | ||||
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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.