PERFORMACE DENTAL CARE IL PC (NPI# 1447670054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447670054 |
| Entity Type | Organization |
| Organization Name | PERFORMACE DENTAL CARE IL PC |
| Practice Address |
7230 191st St Tinley Park IL 60487-9378 |
| Practice Telephone | 8154648850 |
| Mailing Telephone | 8154648850 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |
| Authorized Official Name | KEVIN FATLAND FATLAND (DENTIST) |
| Authorized Official Telephone | 8154648850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 19025070 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 01902570 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497175988 | Performace Dental Care Il PC | Dentist | 19509 Governors Hwy, Flossmoor, IL 60422-2097 | 2014-04-23 |
| 1003236597 | Performace Dental Care Il PC | Dentist | 9957 S Roberts Rd, Palos Hills, IL 60465-1646 | 2014-04-23 |
| Street Address |
7230 191ST ST |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60487-9378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942377908 | Performance Dental Care PC | Dentist | 7230 191st St, Tinley Park, IL 60487-9378 | 2006-11-28 |
| 1225463417 | Sarah Ann Janowski | Dentist | 7230 191st St, Tinley Park, IL 60487-9378 | 2013-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850492 | Essential Counseling Group LLC | Social Worker | 17550 W Quail Trail, Tinley Park, IL 60487 | 2020-08-04 |
| 1457972705 | Michelle E Estand | Speech-Language Pathologist | 8200 185th, Tinley Park, Il 60487, Suite A/b, Suite A/b, Suite A/b, Tinley Park, IL 60487 | 2020-04-28 |
| 1659839108 | Jasmine Mccloskey | Behavioral Analyst | Cards, 8505 183rd Suite D, IL 60487 | 2019-03-04 |
| 1669951158 | Christine Marie Cavanaugh | Developmental Therapist | 8384 Dunmore Dr, Tinley Park, IL 60487 | 2018-08-07 |
| 1851810998 | Jeffrey Beck | Counselor | 16243 Haven Ave., Orland Hills, IL 60487 | 2017-09-09 |
| 1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
| 1780016162 | Kristin Ann Strausbaugh | Nurse Practitioner | 7300 191st Street, Tinley Park, IL 60487 | 2013-08-07 |
| 1679855597 | Florence Delavega | Pharmacist | 9151 Mansfield Dr, Tinley Park, IL 60487 | 2011-09-16 |
| 1912285685 | Michelle Vansetten | Behavioral Analyst | 8200 W. 185th Street, Suite A/b, Tinley Park, IL 60487 | 2011-07-29 |
| 1417283938 | Haley Ranae Goulson | Physician Assistant | 17495 South Lagrange Road, Tinley Park, IL 60487 | 2009-10-19 |
| Find all providers in zip 60487 | ||||
| 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 |
|---|---|---|---|---|
| 1003476771 | Palak Patel | Dentist | 18175 Goesel Dr, Tinley Park, IL 60487-8668 | 2019-06-16 |
| 1124331731 | Yaa Noel Mcdonald | Dentist | 16345 Harlem Avenue, Suite 150, Tinley Park, IL 60559-1514 | 2010-07-24 |
| 1336305143 | Richard A Strauman | Dentist | 16717 S. 80th Ave, Tinley Park, IL 60477-2361 | 2008-07-31 |
| 1235392259 | Edward Patrick Mcgonigle | Dentist | 17519 80th Avenue, Tinley Park, IL 60477 | 2008-07-09 |
| 1568639854 | John O'brien | Dentist | 7602 Claremont Dr, Tinley Park, IL 60477-4740 | 2008-05-15 |
| 1770620320 | Emily Karamagianis | Dentist | 7751 159th St, Tinley Park, IL 60477-9304 | 2007-01-31 |
| 1689732844 | Peggy A Richardson | Dentist | 16918 S Oak Park Ave, Tinley Park, IL 60477 | 2006-12-04 |
| 1699852335 | Mcgonigle Dental Associates | Dentist | 17519 80th Ave, Tinley Park, IL 60477 | 2006-11-01 |
| 1548340151 | Edmond J. Hanley IIi | Dentist | 17853 80th Ave, Tinley Park, IL 60477-5023 | 2006-10-17 |
| 1194821546 | Ralph William Ginn | Dentist | 15930 75th Ct, St 400, Tinley Park, IL 60477 | 2006-09-15 |
| Find all providers in TINLEY PARK | ||||
| City | TINLEY PARK |
| Zip Code | 60487 |
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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.