WINTHROP HARBOR DENTAL CENTER


Address: 644 Sheridan Rd, Suite 105, Winthrop Harbor, IL 60096-1350
Phone: 8478725626

WINTHROP HARBOR DENTAL CENTER (NPI# 1306853429) 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) 1306853429
Entity Type Organization
Organization Name WINTHROP HARBOR DENTAL CENTER
Practice Address 644 Sheridan Rd
Suite 105
Winthrop Harbor
IL 60096-1350
Practice Telephone 8478725626
Practice Fax Number 8477462900
Mailing Telephone 8478725626
Mailing Fax Number 8477462900
Enumeration Date 2006-08-02
Last Update Date 2011-11-28
Authorized Official Name MRS. MICHELLE L OPELT (BUSINESS MANAGER)
Authorized Official Telephone 8478725626
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
019015026 IL Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 603323 UNITED CONCORDIA 01
IL 80006341 BCBS OF IL 01
IL 603323 TRI-CARE 01

Office Location

Street Address 644 SHERIDAN RD
SUITE 105
City WINTHROP HARBOR
State IL
Zip Code 60096-1350

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427071828 Michael A. Damko Dentist 644 Sheridan Rd, Suite 105, Winthrop Harbor, IL 60096-1350 2006-07-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831332469 Winthrop Harbor School District #1 Local Education Agency (LEA) 500 North Ave, Winthrop Harbor, IL 60096-1186 2009-04-13
1720501380 Lion Grenader Dentist 644 Sheridan Rd # D, Winthrop Harbor, IL 60096-1350 2017-07-25
1104171917 Susan R. Davis Therapies, Inc. Community/Behavioral Health 3804 11th St, Winthrop Harbor, IL 60096-1461 2012-07-17
1952848756 Joan Thornton Licensed Practical Nurse 743 Russell Ave, Winthrop Harbor, IL 60096-1544 2017-01-31
1871528133 Village of Winthrop Hbr Ambulance 830 Sheridan Rd, Winthrop Harbor, IL 60096-1632 2006-07-12
1043219652 Harbor Pharmacy Inc Durable Medical Equipment & Medical Supplies 1707 7th St, Suite 4, Winthrop Harbor, IL 60096-1656 2005-07-15
1992844773 Jackie Lynne Schilling Pharmacist 1707 7th St, Suite 4, Winthrop Harbor, IL 60096-1656 2007-02-06
1013056605 Louis M. Abboud Pharmacist 1707 7th St, Winthrop Harbor, IL 60096-1656 2007-02-06
1205973609 Harbor Pharmacy Inc Pharmacy 1707 7th St, Suite 4, Winthrop Harbor, IL 60096-1656 2007-02-01
1518223700 Kathryn Lisa Hickey Specialist/Technologist 944 Landon Ave, Winthrop Harbor, IL 60096-1732 2012-04-02
Find all providers in zip 60096

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

Search similar providers

City WINTHROP HARBOR
Zip Code 60096

Improve Information

Please comment or provide details below to improve the information on WINTHROP HARBOR DENTAL CENTER.

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