DOMINIK DUBRAVEC DDS MMSC PC (NPI# 1992126304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992126304 |
Entity Type | Organization |
Organization Name | DOMINIK DUBRAVEC DDS MMSC PC |
Practice Address |
20635 Abbey Woods Ct N Suite 203 Frankfort IL 60423-3181 |
Practice Telephone | 8154643001 |
Practice Fax Number | 8154643010 |
Mailing Telephone | 8154643001 |
Mailing Fax Number | 8154643010 |
Enumeration Date | 2014-01-02 |
Last Update Date | 2014-01-02 |
Authorized Official Name | DR. DOMINIK DUBRAVEC (PRESIDENT) |
Authorized Official Telephone | 8154643001 |
Authorized Official Credential | DDS MMSC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
019021633 | IL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891309399 | Dominik Dubravec Dds Mmsc PC | Dentist | 555 W Court St Ste 202, Kankakee, IL 60901-3674 | 2020-09-02 |
Street Address |
20635 ABBEY WOODS CT N SUITE 203 |
City | FRANKFORT |
State | IL |
Zip Code | 60423-3181 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902918683 | Laura A Scott Crusing | Counselor | 20635 Abbey Woods Ct N, Ste 209, Frankfort, IL 60423-3181 | 2006-08-31 |
1851927156 | Compassiionate Care At Lsc Therapy.com | Counselor | 20635 Abbey Woods Ct N, Frankfort, IL 60423-3181 | 2020-03-18 |
1316476195 | Gsgrace Healthcare Services, Inc. | Nursing Care | 20635 Abbey Woods Ct N, Frankfort, IL 60423-3181 | 2017-06-06 |
1609219336 | Lsc Therapy Group, P.C. | Community/Behavioral Health | 20635 Abbey Woods Ct N, Ste 209, Frankfort, IL 60423-3181 | 2013-04-11 |
1861765273 | Lindsey Vass | Counselor | 20635 Abbey Woods Ct N, Frankfort, IL 60423-3181 | 2012-02-15 |
1114294253 | Ability Home Health Care, Inc. | Home Health | 20635 Abbey Woods Ct N, 303, Frankfort, IL 60423-3181 | 2011-11-17 |
1689817587 | Julie Anne Chicvara | Counselor | 20635 Abbey Woods Ct N, Suite 207, Frankfort, IL 60423-3181 | 2009-04-08 |
1235378126 | Michelle C. Delehant, Ph.d., Inc. | Clinical Neuropsychologist | 20635 Abbey Woods Ct N, Suite 207, Frankfort, IL 60423-3181 | 2009-02-17 |
1053566943 | Erika Luhn, P.C. | Community/Behavioral Health | 20635 Abbey Woods Ct N, #207, Frankfort, IL 60423-3181 | 2008-11-19 |
1770734352 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 20635 Abbey Woods Ct N, Suite #310 B, Frankfort, IL 60423-3181 | 2008-10-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316589542 | Katherine Melissa Helm-lewis | Psychologist | Fox Valley Institute, 640 North River Road, Suite 108, Naperville, IL 60423 | 2019-10-09 |
1548819295 | Edith Stemmer | Technician | 22921 Toscana Drive, Frankfort, IL 60423 | 2019-09-05 |
1063974343 | Kailan Nicole Kathryn Paul | Occupational Therapist | 21000 S. Frankfort Square Road, Suite D, Frankfort, IL 60423 | 2019-04-04 |
1568928687 | Sari Leonela Perez | Behavior Technician | 5419 W. 87th St., Oak Lawn, IL 60423 | 2019-02-13 |
1992210322 | Personal Solutions Counseling, PC | Counselor | 20855 S. Lagrange Rd, Suite 202, Frankfort, IL 60423 | 2017-12-07 |
1255850038 | Abrahim Alramhi | Specialist/Technologist | 7635 West Juniper Ct, Frankfort, IL 60423 | 2017-09-13 |
1982120051 | Jakara Lynne Hubbard | Counselor | 20550 S Lagrange Rd Ste 105, Frankfort, IL 60423 | 2017-08-20 |
1922558345 | Madison Gaffney | Behavioral Analyst | 2100 S Frankfort Sq Road, Suite D, Frankfort, IL 60423 | 2016-10-10 |
1972050094 | Shannon Schaefer | Occupational Therapist | 21000 S. Frankfort Square Rd, Ste D, Frankfort, IL 60423 | 2016-09-07 |
1336515949 | Anthony Joseph Vuckovich | Chiropractor | 9645 Lincolnway Ln Ste 112, Frankfort, IL 60423 | 2015-08-18 |
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Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598374167 | Dubravec Periodontal Specialists PC | Dentist | 20635 Abbey Woods Ct N Ste 203, Frankfort, IL 60423-3186 | 2020-07-29 |
1215345939 | Mark Kolozenski, Dds, Ms, PC | Dentist | 10083 W Lincoln Hwy, Frankfort, IL 60423-1272 | 2014-07-25 |
1972714756 | Homing Kim | Dentist | 938 Louisville Rd, 200, Frankfort, KY 40601 | 2007-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891309399 | Dominik Dubravec Dds Mmsc PC | Dentist | 555 W Court St Ste 202, Kankakee, IL 60901-3674 | 2020-09-02 |
1972145183 | Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr | Dentist | 820 E 87th St Ste 201, Chicago, IL 60619-6256 | 2019-10-09 |
1083192389 | Amirreza Ghassemi | Dentist | 2800 College Ave Bldg 285, Alton, IL 62002-4742 | 2018-07-30 |
1508355678 | Periodontal Associates, LLP | Dentist | 845 N Michigan Ave Ste 940w, Chicago, IL 60611-2216 | 2018-05-04 |
1043750714 | Bloomingdale Dental Rez, PC | Dentist | 1 Tiffany Pt Ste 209, Bloomingdale, IL 60108-2916 | 2017-03-01 |
1114398831 | Dubravec Periodontal Associates, PC | Dentist | 1900 Spring Rd, Suite 205, Oak Brook, IL 60523-1447 | 2015-10-08 |
1689059297 | Amer Atassi | Dentist | 6224 S Elm St, Burr Ridge, IL 60527-5228 | 2015-07-24 |
1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
1417377417 | Kate Quinlin | Dentist | 939 W North Ave Ste 700, Chicago, IL 60642-7839 | 2014-04-17 |
1437597598 | Carmen Villasante Graves | Dentist | Rm.458 Mc 859, 801 S. Paulina St, Chicago, IL 60612 | 2013-06-11 |
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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.