FAMILY DENTAL CENTER (NPI# 1164843421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164843421 |
| Entity Type | Organization |
| Organization Name | FAMILY DENTAL CENTER |
| Practice Address |
908 Waukegan Rd Glenview IL 60025-4315 |
| Practice Telephone | 8479981281 |
| Practice Fax Number | 8479981286 |
| Mailing Telephone | 8479981281 |
| Mailing Fax Number | 8479981286 |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2015-06-04 |
| Authorized Official Name | SEAN WILLIAM CULLINAN (GENERAL DENTIST) |
| Authorized Official Telephone | 8479981281 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY DENTAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019027128 | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255504510 | Family Dental Center | Dentist | 8715 Ridgeland Ave, Oak Lawn, IL 60453-1001 | 2008-04-08 |
| 1538211172 | Family Dental Center | Dentist | 1 Winston & Maryland Ave, Wilmington, DE 19804 | 2007-01-16 |
| 1396809901 | Family Dental Center | Dentist | 4301 Nw 63rd, Suite 303, Oklahoma City, OK 73116 | 2006-12-20 |
| 1568898856 | Family Dental Center | Dentist | 6333 State Road 54, New Port Richey, FL 34653-6037 | 2013-09-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | FAMILY DENTAL CENTER OF MAQUOKETA, P.C. | 119 South Main Ste 1, Maquoketa, IA 52060 |
| Virginia Business Entities | Family Dental Center of Tysons P.C. | 2136 Gallows Road Ste B, Dunn Loring, Virginia 22027 |
| Indiana Business Entities | FAMILY DENTAL CENTER SERVICE COMPANY OF AMERICA | Lana Dishman, One N. Capitol Ave., Indpls, IN 46204 |
| Iowa Business Entities | FAMILY DENTAL CENTER, P.C. | 1060 W. Milwaukee, Storm Lake, IA 50588 |
| Oregon Corporations, Companies and Business Names | FAMILY DENTAL CENTERS, LLC | 4455 Sw Scholls Ferry Rd, Portland, OR 97225 |
| Street Address |
908 WAUKEGAN RD |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60025-4315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295819365 | Brady Brophy | Chiropractor | 908 Waukegan Rd, Glenview, IL 60025-4315 | 2006-10-25 |
| 1346452562 | Nicole Marie Wittenburg | Chiropractor | 908 Waukegan Rd, Glenview, IL 60025-4315 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287118 | Nl Speech and Language Path LLC | Speech-Language Pathologist | 1315 Sherwood Rd., Glenview, IL 60025 | 2018-03-01 |
| 1982128021 | Quinn Goodwin | Speech-Language Pathologist | 41 Waukegan Rd., Glenview, IL 60025 | 2017-07-31 |
| 1447773684 | Roshni Jaimon | Nurse Practitioner | 616 Meadow Dr, Glenview, IL 60025 | 2017-07-19 |
| 1053840488 | Progressive Behavior Solutions LLC | Behavioral Analyst | 2519 Allison Court, Glenview, IL 60025 | 2017-06-08 |
| 1720529969 | Catherine Marquard | Social Worker | 1949 Robincrest Ln, Glenview, IL 60025 | 2017-03-20 |
| 1073055398 | Imad Dababneh | Optometrist | 4150 Williamsburg Ct. Apt 101, Glenview, IL 60025 | 2016-11-17 |
| 1417400565 | Megan Bowman | Nutritionist | 1332 Waukegan Rd., Glenview, IL 60025 | 2016-07-25 |
| 1548621402 | Integrated Care Servises Corp | In Home Supportive Care | 4001 Amalfi Dr., Glenview, IL 60025 | 2016-03-18 |
| 1003277237 | Caring Nurses, Inc | Home Health | 1701 East Lake Ave, Suite 360, Glenview, IL 60025 | 2016-03-16 |
| 1033570841 | Sumy Johny | Pharmacist | 25 Waukegan Road, Glenview, IL 60025 | 2016-03-08 |
| Find all providers in zip 60025 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598203770 | Dentistar PC | Dentist | 1615 Milwaukee Ave Ste 120, Glenview, IL 60025-1444 | 2017-02-07 |
| 1124417282 | Yummy Dental and Orthodontics for Kids, Ltd. | Dentist | 1521 Waukegan Rd, Glenview, IL 60025-2122 | 2015-01-13 |
| 1306241138 | Jeffrey Gilmor Dds Ltd | Dentist | 2222 Chestnut Ave Ste 200, Glenview, IL 60026-1679 | 2014-10-22 |
| 1942638358 | Steven Sokolik | Dentist | 1775 Glenview Rd Ste 206, Glenview, IL 60025-2900 | 2013-10-22 |
| 1043559578 | Jane Ellen Badegian | Dentist | 1304 Waukegan Road, Glenview, IL 60025 | 2013-02-04 |
| 1881929792 | Elizabeth Zwolinska Dds PC | Dentist | 706 Beaver Rd, Glenview, IL 60025-3430 | 2009-10-09 |
| 1457584260 | Christina C Jacob | Dentist | 602 Revere Rd, Glenview, IL 60025-3941 | 2009-08-26 |
| 1992979660 | Badegian Dental Group, P.C. | Dentist | 1304 Waukegan Rd, Glenview, IL 60025-3022 | 2008-04-14 |
| 1649476003 | Christine Louise Culp | Dentist | 620 Chatham Rd, Glenview, IL 60025-4402 | 2007-06-22 |
| 1346462975 | The Glen Dental Center P C | Dentist | 2222 Chestnut Ave., Suite200, Glenview, IL 60026 | 2007-05-03 |
| Find all providers in GLENVIEW | ||||
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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.