WARREN J SMITH (NPI# 1346467396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346467396 |
| Entity Type | Individual |
| Full Name | WARREN J SMITH |
| Credential | D.D.S. |
| Practice Address |
36100 Brookside Drive Ste. Ll40 Gurnee IL 60031 |
| Practice Telephone | 8478558228 |
| Mailing Telephone | 8478558228 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | 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 |
|---|---|---|---|---|
| 1114431681 | Warren Smith | Technician | 3023 14th St Nw, Washington, DC 20009-6838 | 2017-11-20 |
| 1467839662 | Warren Smith | Family Medicine | 7617 Little River Tpke Ste 600, Annandale, VA 22003-2603 | 2015-04-27 |
| 1447292834 | Warren B. Smith | Chiropractor | 1554 Harrison Ave, Ste A, Butte, MT 59701-4859 | 2006-06-12 |
| 1679572853 | Warren L Smith | Family Medicine | 895 Adams Blvd, Boulder City, NV 89005-2235 | 2005-07-19 |
| 1871074922 | Warren Douglas Smith | Pharmacist | 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975 | 2018-08-27 |
| 1780032490 | Warren Smith | Chiropractor | 110 Evans Mill Dr, Suite 301, Dallas, GA 30157-1622 | 2016-06-03 |
| 1003232356 | Warren Daniel Smith | Licensed Practical Nurse | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2014-03-11 |
| 1376748509 | Warren Stephen Smith | Nurse Anesthetist, Certified Registered | 901 18th St E, Tifton, GA 31794-3648 | 2007-06-18 |
| 1497816656 | Warren Byron Smith | Specialist | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 | 2006-12-12 |
| 1235208281 | Warren D Smith | Surgery | 400 Fort Hill Ave, Canandaigua, NY 14424-1159 | 2006-11-06 |
| Street Address |
36100 BROOKSIDE DRIVE STE. LL40 |
| City | GURNEE |
| State | IL |
| Zip Code | 60031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497972384 | Steven Brucki | Dentist | 36100 Brookside Drive, Ste. Ll40, Gurnee, IL 60031 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| 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 |
|---|---|---|---|---|
| 1619343688 | Tina Khoury | Dentist | 4225 Tiger Lily Ln Apt 404, Gurnee, IL 60031-9641 | 2015-08-13 |
| 1609280080 | Bradley C. Rule, Dds, P.C. | Dentist | 6475 Washington St Ste 101, Gurnee, IL 60031-4404 | 2014-06-13 |
| 1972925584 | Dental Professionals of Illinois, P.C. | Dentist | 6631 Grand Ave Ste 1, Gurnee, IL 60031-5284 | 2014-01-16 |
| 1679877195 | Timothy L. Straka D.d.s., L.L.C. | Dentist | 3 S Greenleaf St Ste L, Gurnee, IL 60031-3377 | 2010-12-23 |
| 1265686976 | Michael Steven Liss | Dentist | 3567 Grand Ave Ste E, Gurnee, IL 60031-4606 | 2008-11-07 |
| 1134377468 | Angie Samuel | Dentist | 6083 Indian Trail Rd, Gurnee, IL 60031-4421 | 2008-08-28 |
| 1164641940 | Unonmosen Eniola Ogufere | Dentist | 6695 Grand Ave, Suite E, Gurnee, IL 60031-5268 | 2007-04-24 |
| 1326181967 | Bradley C. Rule | Dentist | 6475 Washington St, Ste 101, Gurnee, IL 60031-4404 | 2007-02-14 |
| 1528119336 | Patricia Lynn Eaton | Dentist | 5649 Manchester Drive, Gurnee, IL 60031 | 2007-01-16 |
| 1699822908 | Arsen Mekaelian | Dentist | 135 N Il Route 21, Gurnee, IL 60031-3808 | 2007-01-05 |
| Find all providers in GURNEE | ||||
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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.