DR. CHARLES ANTHONY MCBROOM (NPI# 1285762971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285762971 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ANTHONY MCBROOM |
| Credential | D.M.D. |
| Practice Address |
1029 Howard St Ste 203 Evanston IL 60202-3877 |
| Practice Telephone | 8474910660 |
| Mailing Telephone | 8474910660 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2009-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019026519 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770798498 | Charles Dennis Mcbroom | Counselor | 622 Se Frank Phillips Blvd, Bartlesville, OK 74003-3917 | 2007-05-14 |
| Street Address |
1029 HOWARD ST STE 203 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-3877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396957361 | Preferred Dental Group, Ltd. | Dentist | 1029 Howard St Ste 203, Evanston, IL 60202-3877 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| 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 |
|---|---|---|---|---|
| 1669876983 | Meira R. Berman Dmd PC | Dentist | 1605 Benson Ave, Evanston, IL 60201-3717 | 2014-10-15 |
| 1578972303 | Andre Amarante | Dentist | 2424 Main St, Evanston, IL 60202 | 2014-08-06 |
| 1023263241 | Richard S Hopf D.d.s. P.C. | Dentist | 500 Davis Street, Suite 504, Evanston, IL 60201-4668 | 2008-12-02 |
| 1518117357 | Emily M Williams | Dentist | 1560 Sherman Ave Ste 610, Evanston, IL 60201-4806 | 2008-09-29 |
| 1417128059 | Dan J Nykaza Dds Ltd | Dentist | 2200 Central Street, Evanston, IL 60201 | 2008-03-21 |
| 1346410636 | Liliana Stevoff | Dentist | 724 Noyes St Apt F2, Evanston, IL 60201-2847 | 2008-03-03 |
| 1306014782 | Kathryn Delfs | Dentist | 500 Davis St Ste 106, Evanston, IL 60201-4600 | 2008-02-19 |
| 1659598704 | Dan Joseph Nykaza | Dentist | 2200 Central St, Evanston, IL 60201-1416 | 2007-04-19 |
| 1457405987 | Green Bay Trail Dentistry | Dentist | 2632 Green Bay Rd, Evanston, IL 60201 | 2007-01-22 |
| 1265501324 | Hae Y Yoon | Dentist | 1819 Church St, Evanston, IL 60201-3415 | 2006-11-06 |
| Find all providers in EVANSTON | ||||
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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.