ROYAL DENTAL (NPI# 1235302910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235302910 |
| Entity Type | Organization |
| Organization Name | ROYAL DENTAL |
| Practice Address |
2713 Black Road Joliet IL 60435 |
| Practice Telephone | 8157291833 |
| Practice Fax Number | 8157292193 |
| Mailing Telephone | 8157291833 |
| Mailing Fax Number | 8157292193 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |
| Authorized Official Name | DR. GEORGE J. TRAKAKIS (OWNER) |
| Authorized Official Telephone | 8157291833 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881839280 | Royal Dental | Dentist | 270 Center Dr Ste 110, Vernon Hills, IL 60061-1564 | 2008-12-13 |
| 1255848693 | Royal Dental | Dentist | 4506 W Charleston Blvd, Las Vegas, NV 89102 | 2018-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ROYAL DENTAL CARE P.C. | 710 E First St, Newberg, OR 97132 |
| Connecticut Business Registrations | ROYAL DENTAL LAB, LLC | 19 Elmore Way, So. Windsor, CT 06074 |
| Massachusetts Corporations | ROYAL DENTAL LABS, INC. | 726 Exchange St, Willimansett, MA 01013 |
| Washington State Corporations | ROYAL DENTAL MANUFACTURING, INC. | 12414 Highway 99, Unit 29, Everett, WA 98204-5548 |
| Virginia Business Entities | Royal Dental PLLC | 15075 Galapagos Pl, Woodbridge, Virginia 22193 |
| Street Address |
2713 BLACK ROAD |
| City | JOLIET |
| State | IL |
| Zip Code | 60435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| 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 |
|---|---|---|---|---|
| 1306362389 | Craigory James Raino | Dentist | 2901 Plainfield Rd Ste A, Joliet, IL 60435-1129 | 2017-08-21 |
| 1922547264 | Shining Smiles 4, Inc | Dentist | 110 N Larkin Ave, Joliet, IL 60435-6603 | 2017-02-20 |
| 1619385101 | Metrosmiles - Joliet Dental PC | Dentist | 2625 W Jefferson St, Joliet, IL 60435-6432 | 2014-07-28 |
| 1700207594 | Innovative Orthodontics | Dentist | 1000 W Jefferson St Ste 101, Joliet, IL 60435-6812 | 2013-12-20 |
| 1902191208 | Sara Anwar | Dentist | 1502 Kempton St, Joliet, IL 60431-8077 | 2011-06-14 |
| 1639486053 | Patel&patel D.d.s Ltd | Dentist | 1507 1/2 W Jefferson St, Joliet, IL 60435-6765 | 2010-09-07 |
| 1699917153 | Krishan Dental Limited | Dentist | 825 Plainfield Rd, Joliet, IL 60435-5900 | 2009-03-30 |
| 1265684674 | Rudolf C Paolucci | Dentist | 202 North Hammes Avenue Suite B, Joliet, IL 60435 | 2008-10-16 |
| 1487857496 | Thomas J Streitz | Dentist | 1711 Campbell St, Joliet, IL 60435-6709 | 2007-06-07 |
| 1174737688 | Alpa T. Patel | Dentist | 1507 W Jefferson St, Unit I, Joliet, IL 60435-6703 | 2007-05-10 |
| Find all providers in JOLIET | ||||
Please comment or provide details below to improve the information on ROYAL DENTAL.
| 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.