DR. LAURENCE SHAROS (NPI# 1255317095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255317095 |
| Entity Type | Individual |
| Full Name | DR. LAURENCE SHAROS |
| Credential | D.M.D. |
| Practice Address |
4241 Hwy 14 W Christopher IL 62822-1037 |
| Mailing Address |
Po Box 155 Christopher IL 62822-0155 |
| Practice Telephone | 6187242401 |
| Mailing Telephone | 6187242401 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2015-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 19016001 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 019016001 | 05 |
| Street Address |
4241 HWY 14 W |
| City | CHRISTOPHER |
| State | IL |
| Zip Code | 62822-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664875 | Brandi Finger | Pharmacy Technician | 4241 Hwy 14 W, Christopher, IL 62822-1037 | 2019-11-18 |
| 1174035141 | Alan Hightower | Physician Assistant | 4241 Hwy 14 W, Christopher, IL 62822-1037 | 2017-10-31 |
| 1083013171 | Mahmoud Jallad | Dentist | 4241 Hwy 14 W, Christopher, IL 62822-1037 | 2014-08-14 |
| 1003247511 | Deborah Saylor Connell | Nurse Practitioner | 4241 Hwy 14 W, Christopher, IL 62822-1037 | 2013-12-09 |
| 1376975011 | Elizabeth A Michaels | Dietitian, Registered | 4241 Hwy 14 W, Christopher, IL 62822-1037 | 2013-08-05 |
| 1558647321 | Jessica C Allen | Dental Hygienist | 4241 Hwy 14 W, Christopher, IL 62822-0155 | 2011-10-25 |
| 1174770648 | Nichole Jeters | Counselor | 4241 Hwy 14 W, Christopher, IL 62822-1037 | 2008-08-26 |
| 1689735474 | Carolyn Sue Loucks | Licensed Practical Nurse | 4241 Hwy 14 W, Rea Clinic, Christopher, IL 62822 | 2006-12-13 |
| 1003832064 | Gayla S Mitchell | Pharmacy Technician | 4241 Hwy 14 W, Rea Clinic Pharmacy, Christopher, IL 62822 | 2006-07-14 |
| 1275570889 | Frederica Jo Nanni | Family Medicine | 4241 Hwy 14 W, Christopher, IL 62822-0155 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253928 | Ability Home Health and Rehab LLC | Home Health | 4343 Il-14, Christopher, IL 62822 | 2019-09-11 |
| 1184954240 | Arthur Lee Basso | Dentist | 212 W. Ernestine Ave., Christopher, IL 62822 | 2010-01-12 |
| 1003045360 | Mickie Lynne Dollins | Licensed Practical Nurse | 4241 Hwy 14, Christopher, IL 62822 | 2009-07-08 |
| 1174715650 | Ultimate Therapeutic Solutions, LLC | Clinic/Center | 4343 State Highway 14, Christopher, IL 62822 | 2007-08-17 |
| 1134325558 | Alicia Faye Eubanks | Pharmacy Technician | 4241 State Highway 14 West, Rea Clinic Pharmacy, Christopher, IL 62822 | 2007-06-22 |
| 1437370400 | Christopher Greater Area Rural Health Planning Corporation | Nurse Practitioner | 4241 State Hwy 14 W, Christopher Rural Health Planning Corporation, Christopher, IL 62822 | 2007-05-01 |
| 1194877233 | Lana Malkovich | Pharmacy Technician | Rea Clinic Pharmacy, 4241 Highway 14 West, Christopher, IL 62822 | 2007-01-17 |
| 1780749812 | Kirks Pharmacy | Pharmacy | 114 West Market Street, Christopher, IL 62822 | 2006-12-27 |
| 1841359924 | James Kirkpatrick | Pharmacist | 114 West Market St, Christopher, IL 62822 | 2006-12-06 |
| 1336240571 | Shari Renee Jones | Registered Nurse | Rea Clinic, 4241 Highway 14 West, Christopher, IL 62822 | 2006-09-26 |
| Find all providers in zip 62822 | ||||
| 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 |
|---|---|---|---|---|
| 1083013171 | Mahmoud Jallad | Dentist | 4241 Hwy 14 W, Christopher, IL 62822-1037 | 2014-08-14 |
| 1073608014 | Larry Mcbride | Dentist | 4241 Hwy 14 West, Rea Dental Clinic, Christopher, IL 62822 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629076 | Align Dental Group PC. | Dentist | 2605 Grand Ave Ste A, Waukegan, IL 60085-2410 | 2020-11-06 |
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1982201505 | Ashley Rodriguez | Dentist | 2208 N Mannheim Rd, Melrose Park, IL 60164-1837 | 2020-10-06 |
| 1831796853 | Shaista Hasan | Dentist | 1840 Harvest Ln, Glendale Heights, IL 60139-1939 | 2020-10-02 |
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1477160190 | Smilesbysangha LLC | Dentist | 118 Barrington Commons Ct Ste 201, Barrington, IL 60010-3259 | 2020-09-27 |
| 1477160331 | Samer Mosoof | Dentist | 9 Monroe Ct, Streamwood, IL 60107-1365 | 2020-09-24 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1275145534 | Moondrift Sleep Solutions, LLC | Dentist | 837 N Wilke Rd, Arlington Heights, IL 60005-1047 | 2020-08-18 |
| 1023629664 | Mockunas Dental PC | Dentist | 13530 S Route 59 Unit 120, Plainfield, IL 60544-5659 | 2020-08-16 |
| Find all providers with the same taxonomy | ||||
| City | CHRISTOPHER |
| Zip Code | 62822 |
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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.