GALVA FAMILY DENTISTRY, INC. (NPI# 1518330505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518330505 |
| Entity Type | Organization |
| Organization Name | GALVA FAMILY DENTISTRY, INC. |
| Other Organization Name | PORT BYRON FAMILY DENTISTRY |
| Practice Address |
308 11th St Port Byron IL 61275-9038 |
| Practice Telephone | 3095233325 |
| Mailing Telephone | 3095233325 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |
| 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 |
019030515 | IL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Port Byron Family Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982069209 | Galva Family Dentistry, Inc. | Dentist | 403 Nw 4th St, Aledo, IL 61231-1209 | 2015-12-31 |
| 1447640594 | Galva Family Dentistry, Inc. | Dentist | 1237 Sweetbriar Pl, Galesburg, IL 61401-2343 | 2015-01-28 |
| 1063781862 | Galva Family Dentistry, Inc. | Dentist | 217 Market St, Galva, IL 61434-1766 | 2011-12-22 |
| Street Address |
308 11TH ST |
| City | PORT BYRON |
| State | IL |
| Zip Code | 61275-9038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811098619 | David Lee Bull | Chiropractor | 1010 Rose Hill Rd, Port Byron, IL 61275 | 2006-09-26 |
| 1548820194 | Riverfront Medical, LLC | Internal Medicine | 103 N Main St, Port Byron, IL 61275-7705 | 2019-06-17 |
| 1174959340 | Family Physical Therapy, LLC | Physical Therapist | 103 N Main St, Port Byron, IL 61275-7705 | 2013-09-19 |
| 1770699043 | Genesis Health System | Family Medicine | 205 11th St, Port Byron, IL 61275-9037 | 2006-08-21 |
| 1609965763 | Gregory L Glade Dmd PC | Dentist | 308 11th St North, Port Byron, IL 61275-9038 | 2006-10-12 |
| 1548367600 | Gregory L Glade | Dentist | 308 11th Street North, Port Byron, IL 61275-9038 | 2006-09-20 |
| 1033768544 | Abigail Martina Johnson | Specialist/Technologist | 9622 256th St N, Port Byron, IL 61275-9054 | 2019-09-06 |
| 1851593305 | Riverdale School District 100 | Local Education Agency (LEA) | 9624 256th St N, Port Byron, IL 61275-9054 | 2007-06-05 |
| 1811073109 | Frederick Bruce Perry | Emergency Medicine | 1012 S High St, Port Byron, IL 61275-9307 | 2006-10-28 |
| 1386764264 | Barbara Ann Gillman | Developmental Therapist | 905 17th St, Port Byron, IL 61275-9520 | 2007-04-02 |
| Find all providers in zip 61275 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | PORT BYRON |
| Zip Code | 61275 |
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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.