AV DENTAL OF WOODRIDGE (NPI# 1528454030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528454030 |
| Entity Type | Organization |
| Organization Name | AV DENTAL OF WOODRIDGE |
| Other Organization Name | SMILE DESIGNERS OF WOODRIDGE |
| Practice Address |
7546 Janes Ave Woodridge IL 60517-2926 |
| Practice Telephone | 6309859787 |
| Mailing Telephone | 6309859787 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |
| Authorized Official Name | JONATHAN VILLANUEVA (PRACTICE MANAGER) |
| Authorized Official Telephone | 6303246750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019029734 | IL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Smile Designers of Woodridge | Doing Business As Name - Organization |
| Street Address |
7546 JANES AVE |
| City | WOODRIDGE |
| State | IL |
| Zip Code | 60517-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730103904 | Martin Christopher Cappa | Dentist | 7546 Janes Ave, Woodridge, IL 60517-2926 | 2006-07-27 |
| 1174076236 | Justin Villanueva | Dentist | 7546 Janes Ave, Woodridge, IL 60517-2926 | 2016-07-25 |
| 1932109865 | Frank Wade Shock Jr. | Dentist | 7546 Janes Ave, Woodridge, IL 60517-2926 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265085401 | Sana Saqlain | Pharmacist | 10204 Werch Dr, Ste 302, Woodridge, IL 60517 | 2019-07-17 |
| 1326529421 | Allison Ann Chavez | Counselor | 6912 Young Ct, Woodridge, IL 60517 | 2018-08-27 |
| 1245768274 | Monika Maria Waclaw | Dentist | 6440 Main St Ste 310, Woodridge, IL 60517 | 2017-06-04 |
| 1003278946 | Beverly Ehlebracht | Physical Therapy Assistant | 7409 Woodrige Dr, Suite F, Woodrige, IL 60517 | 2016-03-21 |
| 1831597194 | Advanced Wellness Medical, LLC | General Practice | 6325 Main Street, Suite 120, Woodridge, IL 60517 | 2014-12-18 |
| 1538576608 | Northwest Home Care, Inc. | Home Health | 1999 75th Street, Suite 201, Woodridge, IL 60517 | 2014-07-21 |
| 1689956591 | Latha Boyd | Pharmacist | 2501 W 75th St, Woodridge, IL 60517 | 2011-09-16 |
| 1437431798 | Timothy J Madiar | Pharmacist | 2501 West 75th Street, Woodridge, IL 60517 | 2011-09-13 |
| 1720368426 | Matthew Scalzitti | Pharmacist | 7215 Janes Ave. #300, Woodridge, IL 60517 | 2011-08-25 |
| 1538454558 | Karen Hokanson | Pharmacist | 2333 W 63rd St, Woodridge, IL 60517 | 2011-06-17 |
| Find all providers in zip 60517 | ||||
| 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 |
|---|---|---|---|---|
| 1124676507 | Najeeb M Abufarha | Dentist | 7409 Woodridge Dr Ste B, Woodridge, IL 60517-2249 | 2019-08-29 |
| 1316599525 | Ali Aoun | Dentist | 7451 Woodward Ave Ste 102, Woodridge, IL 60517-2665 | 2019-07-09 |
| 1669534533 | Priti Jain | Dentist | 7440 Woodward Ave, Ste J, Woodridge, IL 60517-2657 | 2006-12-15 |
| 1457426512 | Michael E. Lenart | Dentist | 2820 75th St, Woodridge, IL 60517-2850 | 2006-11-22 |
| 1356414437 | Richard Dan Delcarlo | Dentist | 6440 Main St, Suite 310, Woodridge, IL 60517-1752 | 2006-11-16 |
| 1740351832 | David S Drew | Dentist | 9 Highland Ave, Woodridge, NY 12789 | 2006-11-13 |
| 1518981018 | Russell V. Fu, Dds | Dentist | 7105 Janes Ave, Woodridge, IL 60517-2321 | 2006-07-27 |
| 1730103904 | Martin Christopher Cappa | Dentist | 7546 Janes Ave, Woodridge, IL 60517-2926 | 2006-07-27 |
| 1174076236 | Justin Villanueva | Dentist | 7546 Janes Ave, Woodridge, IL 60517-2926 | 2016-07-25 |
| 1447455175 | Hobson Dental Associates | Dentist | 7409 Woodridge Dr, Suite B, Woodridge, IL 60517-2249 | 2007-06-21 |
| Find all providers in WOODRIDGE | ||||
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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.