GALVA FAMILY DENTISTRY, INC. (NPI# 1447640594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447640594 |
| Entity Type | Organization |
| Organization Name | GALVA FAMILY DENTISTRY, INC. |
| Other Organization Name | SWEETBRIAR FAMILY DENTISTRY |
| Practice Address |
1237 Sweetbriar Pl Galesburg IL 61401-2343 |
| Mailing Address |
217 Market St Galva IL 61434-1766 |
| Practice Telephone | 3093427112 |
| Practice Fax Number | 3093420284 |
| Mailing Telephone | 3099322000 |
| Mailing Fax Number | 3099328904 |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |
| Authorized Official Name | SCOTT BIALOBRESKI (PRESIDENT) |
| Authorized Official Telephone | 3099322000 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | Y |
| Parent Organization Name | GALVA FAMILY DENTISTRY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019028104 | IL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Sweetbriar Family Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518330505 | Galva Family Dentistry, Inc. | Dentist | 308 11th St, Port Byron, IL 61275-9038 | 2015-11-12 |
| 1982069209 | Galva Family Dentistry, Inc. | Dentist | 403 Nw 4th St, Aledo, IL 61231-1209 | 2015-12-31 |
| 1063781862 | Galva Family Dentistry, Inc. | Dentist | 217 Market St, Galva, IL 61434-1766 | 2011-12-22 |
| Street Address |
1237 SWEETBRIAR PL |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912202227 | Adam Christian Welty | Dentist | 1237 Sweetbriar Pl, Galesburg, IL 61401-2343 | 2011-01-18 |
| 1568941763 | Evelyn Margaret Nord-england | Dentist | 1237 Sweetbriar Pl, Galesburg, IL 61401-2343 | 2018-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| 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 |
|---|---|---|---|---|
| 1457868788 | Sb Illinois Dentistry LLC | Dentist | 2506 Volunteer Dr, Galesburg, IL 61401-8654 | 2018-01-09 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1912202227 | Adam Christian Welty | Dentist | 1237 Sweetbriar Pl, Galesburg, IL 61401-2343 | 2011-01-18 |
| 1366544389 | Reuel D Owen | Dentist | 1237 Sweetbriar Place, Galesburg, IL 61401-2343 | 2006-09-01 |
| 1184647083 | Donald Eugene Bortz | Dentist | 369 North Kellogg Street, Galesburg, IL 61401-3722 | 2006-07-25 |
| 1225683766 | The Dental Group of Galesburg Pllc | Dentist | 1865 N Henderson St Ste 9, Galesburg, IL 61401-1377 | 2019-08-01 |
| 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.