BOLINGBROOK DENTAL ASSOCIATES LLC (NPI# 1003370248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003370248 |
| Entity Type | Organization |
| Organization Name | BOLINGBROOK DENTAL ASSOCIATES LLC |
| Practice Address |
391 Quadrangle Dr Bolingbrook IL 60440-3442 |
| Practice Telephone | 6307594400 |
| Mailing Telephone | 6307594400 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| Authorized Official Name | OSCAR G GONZALEZ (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2194658627 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
391 QUADRANGLE DR |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831172386 | August Martinucci | Specialist | 391 Quadrangle Dr, S-1, Bolingbrook, IL 60440-3442 | 2005-11-29 |
| 1114242112 | Childhood Trauma Treatment Program of Advocate Health & Hospitals Corp | Clinic/Center | 391 Quadrangle Dr, N4, Bolingbrook, IL 60440-3442 | 2010-04-01 |
| 1215182837 | Jessica Lynn Durante | Dentist | 391 Quadrangle Dr, Suite S-5, Bolingbrook, IL 60440-3442 | 2008-11-24 |
| 1629220371 | Hearing Choices Dba Jefferson Hearing Aid | Audiologist | 391 Quadrangle Dr, Suite S-1, Bolingbrook, IL 60440-3442 | 2008-10-14 |
| 1033390620 | Access Pediatrics Ltd | Pediatrics | 391 Quadrangle Dr, Suite N2, Bolingbrook, IL 60440-3442 | 2007-11-24 |
| 1598972127 | Stacy Lambin | Audiologist | 391 Quadrangle Dr, Bolingbrook, IL 60440-3442 | 2007-05-16 |
| 1225254113 | Adeona Clinical Laboratory LLC | Clinical Medical Laboratory | 391 Quadrangle Dr, Suite N8, Bolingbrook, IL 60440-3442 | 2007-04-18 |
| 1548484892 | Thomas Lee Hesselink | General Practice | 391 Quadrangle Dr, S-1, Bolingbrook, IL 60440-3442 | 2007-04-11 |
| 1538287297 | Randall F. Summers, D.d.s.,ltd | Dentist | 391 Quadrangle Dr, Suite S-5, Bolingbrook, IL 60440-3442 | 2007-03-27 |
| 1497870398 | Richard L Goodman | Dentist | 391 Quadrangle Dr, Suite S-5, Bolingbrook, IL 60440-3442 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425125 | Dental Smiles of Bolingbrook | Clinic/Center | 495 S Weber Rd, Bolingbrook, IL 60490-5504 | 2020-07-24 |
| 1194366005 | Dr M Sayeed & Associates PC | Clinic/Center | 263 S Bolingbrook Dr, Bolingbrook, IL 60440-2931 | 2019-10-01 |
| 1548568181 | Jilada B. Williams, Dds, PC | Clinic/Center | 168 N Bolingbrook Dr, Bolingbrook, IL 60440-2350 | 2011-03-07 |
| 1417583592 | Professional Dental Alliance of Grove Dental LLC | Clinic/Center | 160 E Boughton Rd, Bolingbrook, IL 60440-2014 | 2020-03-20 |
| 1457987901 | Professional Dental Alliance of Illinois Ortho Pllc | Clinic/Center | 160 E Boughton Rd, Bolingbrook, IL 60440-2014 | 2020-03-17 |
| 1215563762 | Professional Dental Alliance of Grove Dental Specialty LLC | Clinic/Center | 160 E Boughton Rd, Bolingbrook, IL 60440-2014 | 2020-03-17 |
| 1245768191 | Kkb, LLC | Clinic/Center | 680 W Boughton Rd, Bolingbrook, IL 60440-2185 | 2017-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629514 | Chicago Pediatric Dentistry and Orthodontics | Clinic/Center | 1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734 | 2020-11-03 |
| 1437750031 | Secure Dental Xi | Clinic/Center | 1843 W Golf Rd, Schaumburg, IL 60194-1148 | 2020-11-02 |
| 1780283267 | Jenna Gaw, Dds, Pllc | Clinic/Center | 1724 Locust Pl Apt 303, Schaumburg, IL 60173-4239 | 2020-10-26 |
| 1740889344 | Nsp Dental LLC | Clinic/Center | 1900 Hollister Dr Ste 190, Libertyville, IL 60048-5283 | 2020-10-23 |
| 1285232827 | Paul Doodes Dds Phd PC | Clinic/Center | 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137-6282 | 2020-10-15 |
| 1780290676 | Great Smile Dental Pllc | Clinic/Center | 720 Osterman Ave Ste 304, Deerfield, IL 60015-4339 | 2020-09-16 |
| 1669087375 | Naperville Smiles Dental | Clinic/Center | 8 W Gartner Rd Ste 124, Naperville, IL 60540-7549 | 2020-09-09 |
| 1649883364 | Mark J Maly Estate | Clinic/Center | 103 S Main St # Po, Orangeville, IL 61060-9244 | 2020-08-24 |
| 1760094718 | Stoffel and Tomazin Dental Associates, Ltd | Clinic/Center | 5718 W 35th St, Cicero, IL 60804-4222 | 2020-08-20 |
| 1215548771 | Meda Dental II LLC | Clinic/Center | 2735 Hassert Blvd Ste 159, Naperville, IL 60564-5205 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
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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.