DARTMOOR DENTAL CLINIC LLC (NPI# 1023428794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023428794 |
| Entity Type | Organization |
| Organization Name | DARTMOOR DENTAL CLINIC LLC |
| Practice Address |
1500 Carlemont Dr Suite C Crystal Lake IL 60014-1833 |
| Mailing Address |
129 S Roselle Rd Schaumburg IL 60193-5540 |
| Practice Telephone | 8154772273 |
| Mailing Telephone | 6303393172 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-15 |
| Authorized Official Name | DR. ALAN J ACIERNO (DENTIST) |
| Authorized Official Telephone | 6303393172 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | ACIERNO DENTAL, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19021132 | IL | Dental Providers |
| Street Address |
1500 CARLEMONT DR SUITE C |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215955745 | Michael Edwin Jones | Dentist | 1500 Carlemont Dr, Suite #f, Crystal Lake, IL 60014-1833 | 2006-07-17 |
| 1417471327 | Mary Theresa Lima | Dentist | 1500 Carlemont Dr, Crystal Lake, IL 60014-1833 | 2017-08-01 |
| 1376760074 | Seezox Chiropractic Rehabilitation | Chiropractor | 1500 Carlemont Dr, Suite M, Crystal Lake, IL 60014-1833 | 2007-04-20 |
| 1518009885 | Jonathan Seezox | Chiropractor | 1500 Carlemont Dr, Suite M, Crystal Lake, IL 60014-1833 | 2007-02-13 |
| 1013028398 | Mej & Associates Enterprises LLC | Dentist | 1500 Carlemont Dr, Suite #f, Crystal Lake, IL 60014-1833 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| 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 |
|---|---|---|---|---|
| 1275010134 | Muizz Merchant | Dentist | 720 Cog Cir Ste H, Crystal Lake, IL 60014-7301 | 2018-07-24 |
| 1831485929 | Ludford Dental, P.C. | Dentist | 6315 Northwest Hwy, Suite A, Crystal Lake, IL 60014-7939 | 2011-06-27 |
| 1700038908 | Bhawna Prasad | Dentist | 5911 Northwest Hwy., Ste. 104 Windsor Dental, P.C., Crystal Lake, IL 60014 | 2008-10-21 |
| 1437305927 | Gerald Miller | Dentist | 600 Dakota St Ste A, Crystal Lake, IL 60012-3742 | 2008-08-15 |
| 1427214030 | Joseph A Fritz | Dentist | 388 W Virginia St, Crystal Lake, IL 60014-5755 | 2008-08-03 |
| 1730346750 | Donald K Jones | Dentist | 1024 S Mchenry Ave, Crystal Lake, IL 60014-7477 | 2008-05-19 |
| 1003089251 | Dcp of Illinois - Crystal Lake | Dentist | 1145 South Route 31, Siute J, Crystal Lake, IL 60039 | 2008-04-09 |
| 1497926299 | Robert Henry Basile | Dentist | 385 Millennium Dr, Suite B, Crystal Lake, IL 60012-3761 | 2008-03-19 |
| 1902020464 | David W Bojan | Dentist | 1024 Mchenry Ave Ste H, Crystal Lake, IL 60014-7477 | 2007-04-13 |
| 1508909573 | Tami L Zuck | Dentist | 360 N Terra Cotta Rd, Suite #d, Crystal Lake, IL 60012-3749 | 2007-02-15 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on DARTMOOR DENTAL CLINIC LLC.
| 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.