FIELDCREST DENTAL, P.C. (NPI# 1275879918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275879918 |
| Entity Type | Organization |
| Organization Name | FIELDCREST DENTAL, P.C. |
| Practice Address |
203 E Santa Fe Ave Toluca IL 61369 |
| Practice Telephone | 8154522513 |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |
| Authorized Official Name | DR. PATRICK HAMPER (SHAREHOLDER) |
| Authorized Official Telephone | 8154522513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019027745 | IL | Dental Providers |
| Street Address |
203 E SANTA FE AVE |
| City | TOLUCA |
| State | IL |
| Zip Code | 61369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730334541 | Patrick Molloy Hamper | Dentist | 203 E Santa Fe Ave, Toluca, IL 61369-0674 | 2008-11-20 |
| 1598910192 | Stephanie Kay Hamper | Dentist | 203 E Santa Fe Ave, Toluca, IL 61369-0674 | 2008-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326219379 | S B Naik | Dentist | 203 E Santa Fe, Toluca, IL 61369 | 2008-03-18 |
| 1942355185 | S B Naik Dds Ltd | Dentist | 203 E Santa Fe, Box 674, Toluca, IL 61369 | 2007-01-25 |
| 1164567707 | Toluca Fire Protection and Ambulance District | Ambulance | 322 W. Railroad, Toluca, IL 61369-0321 | 2007-02-21 |
| 1487151783 | Advanced Digital Mobile Xray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 109 N Main St Rm D, Toluca, IL 61369-9430 | 2018-04-12 |
| 1568463644 | Asta Care Center of Toluca LLC | Skilled Nursing Facility | 101 E Via Ghiglieri, Toluca, IL 61369-9596 | 2005-08-10 |
| 1477195378 | Aperion Care Toluca LLC | Durable Medical Equipment & Medical Supplies | 101 E Via Ghiglieri, Toluca, IL 61369-9596 | 2019-10-11 |
| 1891168878 | Aperion Care Toluca LLC | Durable Medical Equipment & Medical Supplies | 101 E Via Ghiglieri, Toluca, IL 61369-9596 | 2015-11-12 |
| 1871908657 | Arba Care Center of Toluca, LLC | Skilled Nursing Facility | 101 E Via Ghiglieri, Toluca, IL 61369-9596 | 2014-06-30 |
| 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 |
|---|---|---|---|---|
| 1326219379 | S B Naik | Dentist | 203 E Santa Fe, Toluca, IL 61369 | 2008-03-18 |
| 1942355185 | S B Naik Dds Ltd | Dentist | 203 E Santa Fe, Box 674, Toluca, IL 61369 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
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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.