176 DENTAL ASSOCIATES LTD (NPI# 1992858674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992858674 |
| Entity Type | Organization |
| Organization Name | 176 DENTAL ASSOCIATES LTD |
| Practice Address |
176 S Bloomingdale Rd Bloomingdale IL 60108-1404 |
| Practice Telephone | 6308936200 |
| Practice Fax Number | 6308930474 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOSEPH MATUSTIK (OWNER) |
| Authorized Official Telephone | 6308936200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
176 S BLOOMINGDALE RD |
| City | BLOOMINGDALE |
| State | IL |
| Zip Code | 60108-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801057674 | Joseph Michael Matustik | Dentist | 176 S Bloomingdale Rd, Bloomingdale, IL 60108-1404 | 2008-06-24 |
| 1215198098 | Dominic A Colletti | Dentist | 176 S Bloomingdale Rd, Bloomingdale, IL 60108-1404 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1427549427 | Soohee Choi | Nurse Practitioner | 303 E Army Trail Rd Ste 100, Bloomingdale, IL 60108 | 2018-05-24 |
| 1427571710 | Priya Sanil Mathew | Nurse Practitioner | 151 Los Lagos Dr, Bloomingdale, IL 60108 | 2017-07-19 |
| 1538610100 | Saher Sayed | Optometrist | 102 Stratford Dr., Bloomingdale, IL 60108 | 2016-10-19 |
| 1215388939 | Kathy Mcnulty, Lcsw, LLC | Community/Behavioral Health | 1 Tiffany Point, Suite 117, Bloomingdale, IL 60108 | 2016-06-23 |
| 1689023889 | Agnes G Nawrot | Nurse Practitioner | 348 Golfview Court, Bloomingdale, IL 60108 | 2016-06-08 |
| 1023484045 | Amber Cotter | Social Worker | 203 Regency Drive, Unit 519, Bloomingdale, IL 60108 | 2015-08-13 |
| 1891176988 | Gunveen Chawla | Dentist | 366 W Army Trail Rd Ste 310a, Bloomingdale, IL 60108 | 2015-06-15 |
| 1922492396 | Allison Marie Schnitzler | Family Medicine | 245 S Gary Ave Ste 100, Bloomingdale, IL 60108 | 2015-03-24 |
| Find all providers in zip 60108 | ||||
| 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 |
|---|---|---|---|---|
| 1568015568 | Mohammed Ahmed Mahdi Sr. | Dentist | 125 S Bloomingdale Rd Ste 9, Bloomingdale, IL 60108-1216 | 2019-07-18 |
| 1639508641 | Arden Dental, P.C. | Dentist | 303 E Army Trail Rd Ste 421, Bloomingdale, IL 60108-2155 | 2013-11-11 |
| 1164798864 | Gabriela V Duraes | Dentist | 156 E Lake St, Suite A, Bloomingdale, IL 60108-1184 | 2012-03-27 |
| 1952539439 | Phillip Kreg Mallow | Dentist | 70 Stratford Dr, Bloomingdale, IL 60108-2201 | 2009-06-23 |
| 1346401932 | Evelyn A Pabes | Dentist | 201 East Army Trail Rd, Suite 311, Bloomingdale, IL 60108-2138 | 2008-06-17 |
| 1407996580 | Sandra M Chic | Dentist | 120 Ridge Ave. Suite 20, Bloomingdale, IL 60108 | 2007-02-07 |
| 1245395946 | Carl M. Khalid | Dentist | 201 E Army Trail Rd Ste 302, Bloomingdale, IL 60108-2138 | 2006-12-25 |
| 1750457784 | Frank Andrew Cincione | Dentist | 109 Franklin St, Suite 1, Bloomingdale, IL 60108-2956 | 2006-11-28 |
| 1780756064 | My Dentist Family, Ltd. | Dentist | 76 Stratford Dr, Bloomingdale, IL 60108-2201 | 2006-11-14 |
| 1689753576 | Jeffery Kenneth Cook | Dentist | 183 S Bloomingdale Rd Ste 101, Bloomingdale, IL 60108-1454 | 2006-11-03 |
| Find all providers in BLOOMINGDALE | ||||
| City | BLOOMINGDALE |
| Zip Code | 60108 |
Please comment or provide details below to improve the information on 176 DENTAL ASSOCIATES LTD.
| 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.