DEMETRIOS DIAMANTAKOS (NPI# 1053479972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053479972 |
| Entity Type | Individual |
| Full Name | DEMETRIOS DIAMANTAKOS |
| Credential | DDS PC |
| Practice Address |
96 W Moreland Ave Addison IL 60101 |
| Practice Telephone | 6305437180 |
| Practice Fax Number | 6305439803 |
| Mailing Telephone | 6305437180 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019 23698 | IL | Dental Providers |
| Street Address |
96 W MORELAND AVE |
| City | ADDISON |
| State | IL |
| Zip Code | 60101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801975586 | Focused Therapies, LLC | Community/Behavioral Health | 96 W Moreland Ave, 11 A - C, Addison, IL 60101-3867 | 2006-11-03 |
| 1538506142 | Andrew Allan Miller | Dentist | 96 W Moreland Ave, Addison, IL 60101-3867 | 2013-05-23 |
| 1023214335 | James Michael Knauf | Dentist | 96 W Moreland Ave, Addison, IL 60101-3867 | 2007-06-23 |
| 1083832828 | Thomas Lowell Peacock | Dentist | 96 W Moreland Ave, Suite 21, Addison, IL 60101-3867 | 2007-04-24 |
| 1417007303 | Janice Cobe | Dentist | 96 W Moreland Ave, Suite #24, Addison, IL 60101-3867 | 2007-01-11 |
| 1467531178 | Carol Mary Sitowski | Counselor | 96 W Moreland Ave, 11 A - C, Addison, IL 60101-3867 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445800 | Allure Skin and Laser | Nurse Practitioner | 240 E Lake Street, Addison, IL 60101 | 2017-02-10 |
| 1912444662 | Iulia Kaulinite | Registered Nurse | 1845 East Army Trail Road, Addison, IL 60101 | 2017-01-19 |
| 1164891727 | Sonic Imaging Inc | Clinic/Center | 4n277 9th Ave, Addison, IL 60101 | 2015-09-24 |
| 1881001147 | Evelina Rodriguez | Interpreter | 102 S. Grant Drive, Addison, IL 60101 | 2014-07-18 |
| 1821426867 | Carrie Lyne M Mathiesen | Physical Medicine & Rehabilitation | 2375 S. Randall Rd, Algonquin, IL 60101 | 2013-10-30 |
| 1972949634 | Vascular Diagnostic LLC | Clinic/Center | 2166, W Silverleaf Ln, Addison, IL 60101 | 2013-05-21 |
| 1134401409 | Colleen Ann O'brien | Occupational Therapist | 222 North Kennedy Dr., Addison, IL 60101 | 2011-09-13 |
| 1962700096 | Pharma Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 970 Lake St Suite 109, Roselle, IL 60101 | 2011-03-15 |
| 1235372947 | Nancy M Ngo | Dentist | 200 W. Lake Street, Addison, IL 60101 | 2009-04-10 |
| 1326288275 | Familia Dental | Dentist | 200 West Lake Street, Addison, IL 60101 | 2009-03-04 |
| Find all providers in zip 60101 | ||||
| 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 |
|---|---|---|---|---|
| 1023645744 | Sher Dental Pllc | Dentist | 4150 Belt Line Rd # 104, Addison, TX 75001-4341 | 2020-03-24 |
| 1366972911 | Terry Ku | Dentist | 5100 Belt Line Rd #312, Addison, TX 75254 | 2017-06-15 |
| 1316313117 | Tuan Anh Chau | Dentist | 5080 Spectrum Dr Ste 610e, Addison, TX 75001-6487 | 2015-08-15 |
| 1669855276 | Syed A Majeed | Dentist | 705 N Tamarac Blvd, Addison, IL 60101-1691 | 2015-06-30 |
| 1780021311 | Dustin Mccammon | Dentist | 14285 Midway Rd, Suite 160, Addison, TX 75001-3622 | 2013-05-22 |
| 1689955726 | Kayla Vaquera Barrett | Dentist | 4021 Belt Line Rd Ste 102, Addison, TX 75001-5878 | 2011-09-02 |
| 1538448857 | Comfort Dental Addison, Pllc | Dentist | 3744 Beltline Rd, Addison, TX 75001 | 2011-08-04 |
| 1649501990 | Smile Town Dental | Dentist | 42 W Lake St, Addison, IL 60101-2764 | 2010-01-27 |
| 1326288275 | Familia Dental | Dentist | 200 West Lake Street, Addison, IL 60101 | 2009-03-04 |
| 1144436627 | Michael Scott Hestwood | Dentist | 431 N Steer St, Addison, MI 49220-9409 | 2007-05-14 |
| Find all providers in ADDISON | ||||
Please comment or provide details below to improve the information on DEMETRIOS DIAMANTAKOS.
| 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.