FORRESTON DENTAL (NPI# 1407068646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407068646 |
| Entity Type | Organization |
| Organization Name | FORRESTON DENTAL |
| Practice Address |
510 5th Avenue Forreston IL 61030 |
| Practice Telephone | 8159382502 |
| Practice Fax Number | 8159382363 |
| Mailing Telephone | 8159382502 |
| Mailing Fax Number | 8159382363 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KEITH R RUTER (PARTNER) |
| Authorized Official Telephone | 8159382490 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
510 5TH AVENUE |
| City | FORRESTON |
| State | IL |
| Zip Code | 61030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699902080 | Jennifer L Anderson | Dentist | 208 N. Walnut Ave, Forreston, IL 61030 | 2009-06-12 |
| 1992824924 | Forreston Fire Protection District | Ambulance | 301 E. Main Street, Forreston, IL 61030-0212 | 2007-03-29 |
| 1366774150 | Schoaf Family Chiropractic LLC | Chiropractor | 210 S. First Ave., Forreston, IL 61030-0307 | 2010-02-04 |
| 1700845104 | Daniel Patrick Schoaf | Chiropractor | 210 S 1st Avenue, Forreston, IL 61030-0307 | 2006-03-23 |
| 1154580116 | Brian Todd Crowe | Specialist | 9763 W White Eagle Rd, Forreston, IL 61030-9208 | 2008-06-05 |
| 1942656657 | North Shore Surgical Associates | General Acute Care Hospital | 9763 W White Eagle Rd, Forreston, IL 61030-9208 | 2016-05-11 |
| 1295954089 | Keith R. Ruter | Dentist | 208 N Walnut Ave, Forreston, IL 61030-9330 | 2007-04-24 |
| 1437703113 | Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il | Clinic/Center | 208 N Walnut Ave, Forreston, IL 61030-9330 | 2019-07-30 |
| 1912175936 | Forrestville Valley U S D 221 | Local Education Agency (LEA) | 601 E Main St, Forreston, IL 61030-9474 | 2008-02-12 |
| 1053523704 | April Moore | Family Medicine | 803 S First Ave, Forreston, IL 61030-9575 | 2007-05-04 |
| Find all providers in zip 61030 | ||||
| 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 |
|---|---|---|---|---|
| 1699902080 | Jennifer L Anderson | Dentist | 208 N. Walnut Ave, Forreston, IL 61030 | 2009-06-12 |
| 1295954089 | Keith R. Ruter | Dentist | 208 N Walnut Ave, Forreston, IL 61030-9330 | 2007-04-24 |
| 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 | ||||
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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.