BRILLIANT DENTAL LLC (NPI# 1487971545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487971545 |
| Entity Type | Organization |
| Organization Name | BRILLIANT DENTAL LLC |
| Practice Address |
1400 W 75th St B1 Downers Grove IL 60516 |
| Practice Telephone | 6307010702 |
| Mailing Telephone | 6307010702 |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |
| Authorized Official Name | DR. VINCENT LIN (PRESIDENT) |
| Authorized Official Telephone | 6307010702 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019026119 | IL | Dental Providers |
| Street Address |
1400 W 75TH ST B1 |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015432 | Costula Cassiani | Behavior Technician | 20w438 Camder Drive, Downers Grove, IL 60516 | 2018-06-02 |
| 1346769130 | Zahra Bohri | Dietitian, Registered | 6337 Blodgett Ct, Downers Grove, IL 60516 | 2017-09-13 |
| 1033567359 | Samuel Brooks Allen | Dentist | 6800 Main St., Third Floor, Downers Grove, IL 60516 | 2016-05-26 |
| 1396019469 | Beverly Woltman | Technician/Technologist | 6800 S. Main Street, Suite Ll5, Downers Grove, IL 60516 | 2012-03-06 |
| 1992080642 | Verna Dianne Velazquez | Counselor | 5630 Hillcrest Rd, Downers Grove, IL 60516 | 2011-10-13 |
| 1598048274 | Rabia Ansari | Optometrist | 1530 W 75th St, Downers Grove, IL 60516 | 2011-09-20 |
| 1235466558 | Erika D Schultz | Social Worker | 11008 Palmer St., Downers Grove, IL 60516 | 2009-11-06 |
| 1124253836 | Main Street Chiropractic and Wellness Center Ltd | Clinic/Center | 6234 S Main Street, Downers Grove, IL 60516 | 2009-05-26 |
| 1841439320 | Lisa Marie Burknap | Behavioral Analyst | 9 South 329 Cumnor, Downers Grove, IL 60516 | 2009-02-06 |
| 1154579811 | Alpha Medical LLC | Clinical Medical Laboratory | 8635 Lemont Road, Downers Grove, IL 60516 | 2008-09-05 |
| Find all providers in zip 60516 | ||||
| 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 |
|---|---|---|---|---|
| 1588215248 | Zayna Ajam | Dentist | 2835 Gabriella St Unit 509, Downers Grove, IL 60515-4048 | 2019-09-24 |
| 1528627213 | Forrest Gillette Quick | Dentist | 2825 Gabriella St Unit 510, Downers Grove, IL 60515-3990 | 2019-06-06 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| 1376961482 | Elizabeth D. Spence, D.m.d., P.C. | Dentist | 5149 Main St, Downers Grove, IL 60515-4615 | 2014-04-04 |
| 1487880118 | Frank A Novak | Dentist | 5600 Fairmount Ave, Downers Grove, IL 60516-1415 | 2009-06-09 |
| 1992940829 | Donald N. Tuck Dds Ltd | Dentist | 1121 Warren Ave., Suite 120, Downers Grove, IL 60515-3571 | 2008-12-05 |
| 1407018062 | Francis W. Summers, Dds Inc | Dentist | 3800 Highland Ave Ste 107, Downers Grove, IL 60515-1558 | 2008-06-25 |
| 1588842751 | Sonia Saiz | Dentist | 6311 Woodward Ave, Downers Grove, IL 60516-2311 | 2008-02-09 |
| 1710109145 | D J Provenzale & D J Provenzale Jr | Dentist | 4336 Saratoga Ave, Downers Grove, IL 60515 | 2007-05-03 |
| 1609928100 | Jeffry Charles Gilmore | Dentist | 2601 Maple Ave, Downers Grove, IL 60515-4204 | 2007-01-17 |
| Find all providers in DOWNERS GROVE | ||||
| City | DOWNERS GROVE |
| Zip Code | 60516 |
Please comment or provide details below to improve the information on BRILLIANT DENTAL LLC.
| 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.