DR. RUSSELL JOHN PROESEL (NPI# 1568563666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568563666 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL JOHN PROESEL |
| Credential | DDS |
| Practice Address |
420 Broadway Mt Zion IL 62549 |
| Practice Telephone | 2178645744 |
| Practice Fax Number | 2178645421 |
| Mailing Telephone | 2178645744 |
| Mailing Fax Number | 2178645421 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| Street Address |
420 BROADWAY |
| City | MT ZION |
| State | IL |
| Zip Code | 62549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427209675 | Charles Howard Stone | Dentist | 108 Ashland Ave., Mt. Zion, IL 62549 | 2008-10-07 |
| 1730340498 | Jacob David Sams | Orthopaedic Surgery | 104 Ashland Ave., Mt. Zion, IL 62549 | 2008-06-24 |
| 1154511517 | Donald Nicholas Sullivan | Orthopaedic Surgery | 104 Ashland, Mt Zion, IL 62549 | 2007-07-31 |
| 1417169681 | Temmen Advanced Eye Care LLC | Optometrist | 1505 W Main, Mt Zion, IL 62549 | 2007-05-03 |
| 1124160247 | Peter L Paulson | Dentist | 1465 East Village Parkway, Mount Zion, IL 62549 | 2007-02-13 |
| 1497789572 | Dennis Ryan Vaughn | Podiatrist | 1640 North State Highway 121, Mt. Zion, IL 62549 | 2006-07-11 |
| 1831605096 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 1505 W Main St, Mt Zion, IL 62549 | 2017-12-22 |
| 1336586114 | Decatur Orthopedic Center, LLC | Orthopaedic Surgery | 104 Ashland Ave., Mt. Zion, IL 62549 | 2013-06-03 |
| 1336284736 | Timothy Delbert Busey | Optometrist | 1505 W Main St, Mt Zion, IL 62549 | 2007-02-21 |
| 1174665285 | Julia A Paulson | Dentist | 1465 East Village Parkway, Mount Zion, IL 62549 | 2007-02-13 |
| Find all providers in zip 62549 | ||||
| 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 | ||||
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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.