FAMILY DENTAL CARE (NPI# 1356543755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356543755 |
| Entity Type | Organization |
| Organization Name | FAMILY DENTAL CARE |
| Other Organization Name | GHASSAN ABDALLAH |
| Practice Address |
7895 W 159th St Tinley Park IL 60477 |
| Practice Telephone | 7084294822 |
| Practice Fax Number | 7084294873 |
| Mailing Telephone | 7084294822 |
| Mailing Fax Number | 7084294873 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GHASSAN ABDALLAH (DMD PRESID) |
| Authorized Official Telephone | 7084294822 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1001005 | 05 |
| Other Name | Type Code |
|---|---|
| Ghassan Abdallah | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578196861 | Family Dental Care | Dentist | 2500 S State St # 404, South Salt Lake, UT 84115-3164 | 2020-02-15 |
| 1689953564 | Family Dental Care | Dentist | 1240 E. Main St, Springfield, OH 45503 | 2011-08-10 |
| 1942510268 | Family Dental Care | Dentist | 1387 Leesburg Ave, Washington Court House, OH 43160-8655 | 2010-10-20 |
| 1801128129 | Family Dental Care | Dentist | 203 Main Ave N, Magee, MS 39111 | 2010-02-11 |
| 1033259031 | Family Dental Care | Dentist | 2247 Helton Drive, Florence, AL 35630-1063 | 2007-02-07 |
| 1467543900 | Family Dental Care | Dentist | 10620 Courthouse Road, Fredericksburg, VA 22407 | 2006-09-28 |
| 1598738643 | Family Dental Care | Dentist | 815 N Custer Ave, Grand Island, NE 68803 | 2006-02-09 |
| 1679063176 | Family Dental Care | Clinic/Center | 501 Park Ave, Indianola, MS 38751 | 2018-05-10 |
| 1205389186 | Family Dental Care | Dentist | 3934 Sw 8th St, Suite 208, Coral Gables, FL 33134-2949 | 2016-07-27 |
| 1235548157 | Family Dental Care | Dentist | 500 E 8th St, Okmulgee, OK 74447-5503 | 2014-08-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FAMILY DENTAL CARE | 8070 Sw Hall Blvd, Suite 200, Beaverton, OR 97008 |
| Iowa Business Entities | FAMILY DENTAL CARE ASSOCIATES, P.L.C. | 1000 42nd Street Se, Cedar Rapids, IA 52403 |
| System for Award Management (SAM) Entities | FAMILY DENTAL CARE CENTER | 6188 Oxon Hill Rd Ste 406, Oxon Hill, MD 20745-3175 |
| New York State Corporations | FAMILY DENTAL CARE OF ELMONT, P.C. | 241-03 Linden Boulevard, Elmont, New York 11003 |
| New York State Corporations | FAMILY DENTAL CARE OF GENESEO, P.C. | 4384 Lakeville Road, Geneseo, Ny 14454 |
| Indiana Business Entities | FAMILY DENTAL CARE OF INDIANA, LLC | 4020 W. Goeller Blvd., Suite A, Columbus, IN 47201 |
| New York State Corporations | FAMILY DENTAL CARE OF LIVONIA, P.C. | 289 Garnsey Road, Pittsford, New York 14534 |
| Washington State Corporations | FAMILY DENTAL CARE OF MILL CREEK P.S. | 16030 Bothell Everett Hwy # 260, Mill Creek, WA 98012 |
| Ohio Business Entities | FAMILY DENTAL CARE OF NAPOLEON, DANIEL R. WHITTAKER, DMD | 1330 Scott St Ste B, Napoleon, OH 43545 |
| New York State Corporations | FAMILY DENTAL CARE OF SUFFOLK P.C. | 1635 Great Neck Road, Suite 6, Copiague, Ny 11726 |
| Street Address |
7895 W 159TH ST |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| 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 |
|---|---|---|---|---|
| 1518317312 | Tyler Markus | Dentist | 17859 Oak Park Ave, Tinley Park, IL 60477-3937 | 2016-06-13 |
| 1720361736 | Kathleen M Falsey | Dentist | 8014 171st St, Tinley Park, IL 60477-4546 | 2011-09-26 |
| 1114192838 | Jason Ralph Crescenzo | Dentist | 16345 Harlem Ave Ste 160, Tinley Park, IL 60477-2589 | 2008-04-23 |
| 1720259831 | Optimal Dental Partnership | Dentist | 15916 Harlem Ave, Tinley Park, IL 60477-1610 | 2008-03-17 |
| 1003084930 | Kosel Dental PC | Dentist | 17859 Oak Park Avenue, Tinley Park, IL 60477 | 2008-02-13 |
| 1770797854 | Bryan Lipson | Dentist | 18400 Maple Creek Dr, Suite 100, Tinley Park, IL 60477-2976 | 2007-05-09 |
| 1225257397 | Crossroads Dental Care LLC | Dentist | 9532 179th St, Tinley Park, IL 60477-9602 | 2007-04-25 |
| 1720104854 | Chris Bernard Gambla | Dentist | 16653 80th Ave, Presidential Suite, Tinley Park, IL 60477-1215 | 2007-03-21 |
| 1245361880 | F Wayne Gedutis | Dentist | 16571 Oak Park Ave, Tinley Park, IL 60477-1752 | 2007-03-07 |
| 1144365321 | Michael Patrick Ryan | Dentist | 17061 Harlem Ave, Tinley Park, IL 60477-2739 | 2007-02-21 |
| Find all providers in TINLEY PARK | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
Please comment or provide details below to improve the information on FAMILY DENTAL CARE.
| 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.