PEDIATRIC DENTAL HEALTH ASSOCIATES, LTD. (NPI# 1366595126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366595126 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTAL HEALTH ASSOCIATES, LTD. |
| Practice Address |
737 N Michigan Ave Chicago IL 60611-2615 |
| Practice Telephone | 3122668198 |
| Mailing Telephone | 3122668198 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARY JANE HAYES (PRESIDENT) |
| Authorized Official Telephone | 3122668198 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
IL | Dental Providers |
| Street Address |
737 N MICHIGAN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760977 | Jean Christophe Lapiere | Dermatology | 737 N Michigan Ave, Ste 2310, Chicago, IL 60611-2635 | 2005-06-14 |
| 1801495254 | Hamzah Beydoun | Counselor | 737 N Michigan Ave, Chicago, IL 60611-2615 | 2020-10-17 |
| 1932735693 | Nina Scoby | Nurse Practitioner | 737 N Michigan Ave, Chicago, IL 60611-2615 | 2020-03-13 |
| 1164912440 | Danielle Alexander | Counselor | 737 N Michigan Ave, Chicago, IL 60611-2615 | 2018-05-13 |
| 1114433174 | Susan Marie Sullivan | Counselor | 737 N Michigan Ave, Chicago, IL 60611-2615 | 2017-12-28 |
| 1225561012 | Harper Health Streeterville | Clinic/Center | 737 N Michigan Ave, Suite 2020, Chicago, IL 60611-2615 | 2017-04-07 |
| 1710428495 | Samantha Calcaterra | Dietitian, Registered | 737 N Michigan Ave, Suite 1925, Chicago, IL 60611-2615 | 2017-03-15 |
| 1336599778 | Taylor Pruett | Social Worker | 737 N Michigan Ave, Suite 1925, Chicago, IL 60611-2615 | 2016-06-16 |
| 1831547595 | Michael Robert Milco | Social Worker | 737 N Michigan Ave, Suite 1925, Chicago, IL 60611-2615 | 2016-06-02 |
| 1780032870 | Stephanie Christine Stuhlmuller | Nurse Practitioner | 737 N Michigan Ave, Suite 2020, Chicago, IL 60611-2615 | 2016-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528562253 | Rachel Vorwaller | Dentist | 1460 N Halsted St Ste 403, Chicago, IL 60642-2607 | 2018-03-19 |
| 1316393390 | Erin Marie Petrik | Dentist | 2530 N Clark St, Apt 203, Chicago, IL 60614-4972 | 2016-05-10 |
| 1720468598 | Mehedia Haque | Dentist | 2062 N Milwaukee Ave, Chicago, IL 60647 | 2015-06-05 |
| 1811300437 | Michaella Radich Heitzler | Dentist | 1611 N. Wolcott Ave, Chicago, IL 60622 | 2014-06-11 |
| 1356768030 | Esther Levine Pincus | Dentist | Chicago Dental Professionals, 2340 North Clybourn Avenue, Chicago, IL 60614 | 2014-03-19 |
| 1316382187 | Serena Mitchual | Dentist | 801 S Paulina St Rm 256, Chicago, IL 60612-7210 | 2013-05-07 |
| 1962790428 | Megan Davenport | Dentist | 1611 N. Wolcott Ave., Chicago, IL 60622-1362 | 2011-07-19 |
| 1295968121 | Smile Lee Faces | Dentist | 4197 S Archer Ave, Chicago, IL 60632 | 2009-08-26 |
| 1013147024 | Yummy Dental | Dentist | 3500 N Lincoln Ave, Chicago, IL 60657-1104 | 2009-07-24 |
| 1659513950 | Melissa Marie Connell | Dentist | 1611 Wolcott Ave., Chicago, IL 60622 | 2009-04-01 |
| Find all providers in CHICAGO | ||||
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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.