DR. STANLEY JEROME WITKIEWICZ (NPI# 1447326004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447326004 |
| Entity Type | Individual |
| Full Name | DR. STANLEY JEROME WITKIEWICZ |
| Credential | DDS |
| Practice Address |
715 N Main Antioch IL 60002 |
| Practice Telephone | 8473950894 |
| Mailing Telephone | 8473950894 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IL | Dental Providers |
| Street Address |
715 N MAIN |
| City | ANTIOCH |
| State | IL |
| Zip Code | 60002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620345 | Kathleen Ann Bleyaert | Technician | 24238 W. Bayview Rd, Antioch, IL 60002 | 2020-02-12 |
| 1992354385 | Pauravi Hefner | Developmental Therapist | 270 Hickory Lane, Antioch, IL 60002 | 2019-09-09 |
| 1689023558 | Shannon Marie Herman | Pharmacist | 966 Route 59, Antioch, IL 60002 | 2016-06-10 |
| 1992151856 | Suchitra Gosavi | Physical Therapist | 3703west Lake Ave, Suit 200, Glenview, IL 60002 | 2016-05-10 |
| 1336513357 | Athletico Ltd | Physical Therapist | 1122 Main St., Antioch, IL 60002 | 2015-11-16 |
| 1811306335 | Jennifer Fitzgerald | Massage Therapist | 673 Cameron Drive, Antioch, IL 60002 | 2014-08-08 |
| 1114262052 | Michael W Silenzi | Physical Therapist | 543 Orchard Str, Antioch, IL 60002 | 2012-12-04 |
| 1659561678 | Expert Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 40225 N Rt 83, Suite B, Antioch, IL 60002 | 2007-07-26 |
| 1821157769 | Robert T Sven,dds,ltd | Dentist | 439 Lake Street, Antioch, IL 60002 | 2006-12-06 |
| 1417032715 | Wal-mart Stores, Inc | Technician/Technologist | 475 E. Route 173, Antioch, IL 60002 | 2006-10-26 |
| Find all providers in zip 60002 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825921 | Alexander Lim Dds Inc | Dentist | 5171 Lone Tree Way, Antioch, CA 94531 | 2017-04-17 |
| 1790220861 | Karlene Guasteferro Dds of Tennessee PC | Dentist | 609 Bakertown Rd, Antioch, TN 37013-2657 | 2016-12-28 |
| 1730622523 | Karlene Guasteferro, D.d.s. of Maine, P.C. | Dentist | 601 Bakertown Rd, Antioch, TN 37013-2657 | 2016-11-28 |
| 1538519368 | Ahmad Noweder | Dentist | 421 E Il Route 173, Antioch, IL 60002-9406 | 2016-06-13 |
| 1811351794 | Genx Investments LLC | Dentist | 3538 Murfreesboro Pike, Ste 305, Antioch, TN 37013-2578 | 2016-04-07 |
| 1972965333 | Lamb & Morrice, A Dental Corporation | Dentist | 3107 Lone Tree Way Ste C, Antioch, CA 94509-4959 | 2016-03-24 |
| 1508268103 | Leng C. Haong, D.d.s., Inc. | Dentist | 5867 Lone Tree Way Ste F, Antioch, CA 94531-8623 | 2014-09-25 |
| 1427498880 | Eric Jerome Oates | Dentist | 424 Edencrest Ct, Antioch, TN 37013-1918 | 2013-07-01 |
| 1801169198 | Western Dental Services, Inc. | Dentist | 4518 Lone Tree Way, Antioch, CA 94531-7414 | 2012-02-16 |
| 1982801759 | Nicholas Ruggiero | Dentist | 1326 Main St Ste A, Antioch, IL 60002-2181 | 2007-06-27 |
| Find all providers in ANTIOCH | ||||
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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.