FOSTER AVENUE DENTAL CLINIC P.C.


Address: 1400 E Golf Rd, Suite 125, Des Plaines, IL 60016-1236
Phone: 8478277990

FOSTER AVENUE DENTAL CLINIC P.C. (NPI# 1205133527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205133527
Entity Type Organization
Organization Name FOSTER AVENUE DENTAL CLINIC P.C.
Practice Address 1400 E Golf Rd
Suite 125
Des Plaines
IL 60016-1236
Mailing Address 3318 W Foster Ave
Chicago
IL 60625-4813
Practice Telephone 8478277990
Practice Fax Number 8478277852
Mailing Telephone 7734638860
Mailing Fax Number 7734639146
Enumeration Date 2011-02-23
Last Update Date 2011-02-23
Authorized Official Name DR. GREGORY H TIETZER (OWNER)
Authorized Official Telephone 7734638860
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 019019206 IL Dental Providers

Office Location

Street Address 1400 E GOLF RD
SUITE 125
City DES PLAINES
State IL
Zip Code 60016-1236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003810953 Arcadio Hilario Valenzuela Pomer Family Medicine 1400 E Golf Rd, Suite 118, Des Plaines, IL 60016-1236 2005-06-09
1891036125 Monica Skotnicki Psychologist 1400 E Golf Rd, Suite 105, Des Plaines, IL 60016-1236 2013-03-12
1265614481 Dr. Gary K. Artinian, Md,sc Internal Medicine 1400 E Golf Rd, #205, Des Plaines, IL 60016-1236 2007-11-29
1235327677 Heyer Celestial Paul Devarapalli Md Sc Internal Medicine 1400 E Golf Rd, Suite 219, Des Plaines, IL 60016-1236 2007-10-11
1063556991 Bela D Desai Internal Medicine 1400 E Golf Rd, #207 Golf Medical Plaza, Des Plaines, IL 60016 2007-02-16
1588704381 Heyer C Devarapalli Internal Medicine 1400 E Golf Rd, Suite 219, Des Plaines, IL 60016-1236 2007-02-08
1447339817 Northwest Eye Clinic Ltd Ophthalmology 1400 E Golf Rd, Suite 212, Des Plaines, IL 60016-1252 2006-11-04
1932118148 Leonard George Bendikas Ophthalmology 1400 E Golf Rd, Suite 212, Des Plaines, IL 60016-1252 2006-08-05
1306855515 Michael Joseph Paxhia Ophthalmology 1400 E Golf Rd, Suite 212, Des Plaines, IL 60016-1252 2006-08-05
1942215520 Joseph Emanuel Paxhia Ophthalmology 1400 E Golf Rd, Suite 212, Des Plaines, IL 60016-1252 2006-07-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043702830 Professional Healthcare Inc Family Medicine 960 Rand Rd Ste 224, Des Plaines, IL 60016 2018-06-06
1407367022 Vcare Pharmacy Inc Pharmacy 380 E Nortwest Hwy, Suite 201, Des Plaines, IL 60016 2017-10-23
1649799610 George N Hotousiotis Pharmacist 10 East Golf Road, Des Plaines, IL 60016 2017-09-11
1619494838 Abdul M Shamsuddin Physical Therapist 2555 Suffield St, Des Plaines, IL 60016 2017-08-28
1063960482 Rachel Kimbrough Counselor 100 N River Road, Des Plaines, IL 60016 2016-09-14
1902250178 Perfect Storm Chiropractic, LLC Chiropractor 565 Concord Ln, Des Plaines, IL 60016 2016-04-14
1255796611 Nektaria Goudis Psychologist 950 Lee Street, Des Plaines, IL 60016 2015-12-29
1831501352 Gary R. Kuntz Dentist 1173 Algonquin Rd., Des Plaines, IL 60016 2014-06-02
1558773754 Midwest Anesthesia and Pain Specialists, Sc Pain Medicine 9700 Golf Rd, Second Floor, Des Plaines, IL 60016 2014-05-22
1508282377 Maciej Padowski Emergency Medicine 9500 Greenwood Dr, Des Plaines, IL 60016 2014-03-17
Find all providers in zip 60016

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174060461 Dr Arshia Taranum Dds Inc Dentist 9359 Margail Ave, Des Plaines, IL 60016-4200 2017-01-24
1780043596 Jeffrey Winterich Dental Group Dentist 615 N Wolf Rd, Des Plaines, IL 60016-1045 2016-02-22
1992130934 Charles Giroux Dentist 1347 Everett Ave, Des Plaines, IL 60018-2305 2013-09-10
1285934372 Teresa Ospelt Dentist 25 N Broadway St, Des Plaines, IL 60016-2335 2010-10-24
1083844914 Eva A. Hanna Dds PC Dentist 737 W Golf Rd, # 11, Des Plaines, IL 60016-2414 2009-07-27
1104052000 Megan Elizabeth Clinton Dentist 1011 E. Touhy Avenue, Suite 125, Des Plaines, IL 60018 2009-06-05
1043476856 Metropolitan Dental Care Dentist 1541 Market St, Des Plaines, IL 60016-4608 2008-07-31
1578736971 Izabela Dlugosz Dentist 501 Alles St Apt 605, Des Plaines, IL 60016-7863 2008-04-07
1417131939 Dana Merce Gale Dentist 1645 Rand Rd, Des Plaines, IL 60016 2007-12-19
1124224522 Clifford Michael Mollsen Jr. Dentist 1455 East Golf Road, Suite 118, Des Plaines, IL 60016 2007-06-22
Find all providers in DES PLAINES

Competitor

Search similar providers

City DES PLAINES
Zip Code 60016

Improve Information

Please comment or provide details below to improve the information on FOSTER AVENUE DENTAL CLINIC P.C..

Dataset Information

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.

Trending Searches