DR. MARITZA AIDEE PEREZ (NPI# 1174696165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174696165 |
| Entity Type | Individual |
| Full Name | DR. MARITZA AIDEE PEREZ |
| Credential | DDS |
| Practice Address |
160 E Boughton Rd Bolingbrook IL 60440-2014 |
| Practice Telephone | 6307598940 |
| Mailing Telephone | 6307598940 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2012-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019-026392 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721642 | Maritza Perez | Counselor | 307 Monroe St Ste 4-7, Passaic, NJ 07055-5207 | 2020-08-17 |
| 1871938654 | Maritza L. Perez | Speech-Language Pathologist | 3322 Kimber Ct, No. 2, San Jose, CA 95124-2390 | 2013-05-07 |
| 1831140730 | Maritza I Perez | Dermatology | 39 Pine St, New Canaan, CT 06840-5409 | 2006-05-15 |
| 1740849306 | Maritza Perez | Technician | 3376 S Eastern Ave Ste 188a, Las Vegas, NV 89169-3380 | 2019-06-07 |
| 1740568542 | Maritza E Perez | Pharmacist | 505 Del Prado Blvd N, Cape Coral, FL 33909-2269 | 2011-07-27 |
| Street Address |
160 E BOUGHTON RD |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1093943417 | Michele Karen Sackheim | Dentist | 160 E Boughton Rd, Bolingbrook, IL 60440-2014 | 2009-06-24 |
| 1811065428 | Tyson L Frenzel | Dentist | 160 E Boughton Rd, Bolingbrook, IL 60440-2014 | 2006-12-01 |
| 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 | 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 |
|---|---|---|---|---|
| 1093122327 | Tabassum Zaidi | Dentist | 100 N Vincent Dr, Bolingbrook, IL 60490-5586 | 2014-07-18 |
| 1811228554 | Yingchun Zhu | Dentist | 276 S Weber Rd Unit D, Bolingbrook, IL 60490-1549 | 2010-01-20 |
| 1023240918 | Milad Nourahmadi | Dentist | 210 N Bolingbrook Dr, Bolingbrook, IL 60440-2386 | 2009-08-11 |
| 1124290671 | Magdaleno S Nucum | Dentist | 287 N Weber Rd, Bolingbrook, IL 60490-1567 | 2008-03-25 |
| 1760691232 | Keith John Kalmanek | Dentist | 913 Lily Cache Ln, Bolingbrook, IL 60440-3131 | 2007-05-22 |
| 1336200450 | Deepa Sridhar | Dentist | 217 S Bolingbrook Dr, Bolingbrook, IL 60440-2931 | 2006-12-13 |
| 1700946001 | All Smiles Family Dental Care, Inc. | Dentist | 1705 W Boughton Rd, Bolingbrook, IL 60490-1550 | 2006-12-10 |
| 1720189897 | Sibtain Kerai | Dentist | 335 N Schmidt Rd, Bolingbrook, IL 60440-1702 | 2006-09-25 |
| 1134228620 | Gary A. Rodgers,dds,pc Dba Professional Center of Dental Care | Dentist | 433 N Bolingbrook Dr, Bolingbrook, IL 60440-3704 | 2006-09-21 |
| 1043317613 | Priti C Chokshi | Dentist | 595 N Pinecrest Rd, Suite D1, Bolingbrook, IL 60440-2182 | 2006-09-17 |
| Find all providers in BOLINGBROOK | ||||
| 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.