ASSOCIATES IN DENTISTRY (NPI# 1538241278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538241278 |
| Entity Type | Organization |
| Organization Name | ASSOCIATES IN DENTISTRY |
| Practice Address |
9016 N. Allen Road Suite B Peoria IL 61615 |
| Mailing Address |
1518 W Garfield Ave Bartonville IL 61607-1755 |
| Practice Telephone | 3096904500 |
| Practice Fax Number | 3096917296 |
| Mailing Telephone | 3096975680 |
| Mailing Fax Number | 3096975682 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | CINDY HAMILTON (BUSINESS ADMINISTRATOR) |
| Authorized Official Telephone | 3096975680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194904862 | Associates In Dentistry | Dentist | 18000 Toledo Blade Blvd, Port Charlotte, FL 33948 | 2007-10-30 |
| 1962584516 | Associates In Dentistry | Dentist | 300 Peoria St, Washington, IL 61571-2425 | 2006-10-20 |
| 1316029044 | Associates In Dentistry | Dentist | 336 N Main Street, Canton, IL 61520-1826 | 2006-10-20 |
| 1841328499 | Associates In Dentistry | Dentist | 131 S College St, Washington, PA 15301-4923 | 2007-03-02 |
| 1346322070 | Associates In Dentistry | Dentist | 101 S Rose Street, Elmwood, IL 61529-0718 | 2006-10-20 |
| 1508948159 | Associates In Dentistry | Dentist | 1522 W Garfield Ave, Bartonville, IL 61607-1755 | 2006-10-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ASSOCIATES IN DENTISTRY LLC | 54 Medical Ln, Whitley City, KY 42653-4216 |
| Street Address |
9016 N. ALLEN ROAD SUITE B |
| City | PEORIA |
| State | IL |
| Zip Code | 61615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| 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 |
|---|---|---|---|---|
| 1386258689 | Joshua Dutton | Dentist | 8325 W Happy Valley Rd Unit 100, Peoria, AZ 85383-4361 | 2020-09-03 |
| 1750908992 | Asfia Kauser | Dentist | 4325 W Castleton Rd, Peoria, IL 61615-2821 | 2020-07-04 |
| 1528694247 | Lake Pleasant Kids Dentists and Orthodontics, LLP | Dentist | 24775 North Lake Pleasant Parkway Suite 104, Peoria, AZ 85383 | 2020-03-13 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1669958781 | Plaza Family Dental Inc | Dentist | 9145 W Thunderbird Rd Ste H105, Peoria, AZ 85381-4820 | 2018-07-11 |
| 1578058293 | Bhumikaben Patel | Dentist | 5400 W Sienna Ln Apt 2202, Peoria, IL 61615-7857 | 2018-06-25 |
| 1265926729 | Vogue Dental Peoria LLC | Dentist | 3510 N University St Ste A, Peoria, IL 61604-1346 | 2018-06-19 |
| 1841784493 | Jeffrey Jay Chen | Dentist | 9016 N Allen Rd Ste B, Peoria, IL 61615-1560 | 2018-06-18 |
| 1013422138 | Joseph Nicholas Taylor | Dentist | 7310 N Villa Lake Dr Ste B, Peoria, IL 61614-8268 | 2017-12-12 |
| 1457881351 | Jaclyn Macdonald | Dentist | 2214 N University St, Peoria, IL 61604-3221 | 2017-06-14 |
| Find all providers in PEORIA | ||||
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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.