DR. JEFFREY T. BOLAND (NPI# 1578734653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578734653 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY T. BOLAND |
| Credential | D.D.S. |
| Practice Address |
455 N York St Elmhurst IL 60126-2003 |
| Practice Telephone | 6302795577 |
| Practice Fax Number | 6302795599 |
| Mailing Telephone | 6302795577 |
| Mailing Fax Number | 6302795599 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2014-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
021001836 | IL | Dental Providers |
| Street Address |
455 N YORK ST |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154822526 | Ortho2smile | Dentist | 501 S York St Ste A, Elmhurst, IL 60126-3966 | 2018-02-21 |
| 1386065597 | Hollywood Orthodontics PC- | Dentist | 9438 60th Ave, Elmhurst, NY 11373-5070 | 2013-12-16 |
| 1366639007 | Ariel Bales-kogan | Dentist | 79-11 41st Ave, Unit A107, Elmhurst, NY 11373 | 2007-09-26 |
| 1811035363 | Claribel Uy | Dentist | 4011 Warren St, Elmhurst, NY 11373-1734 | 2007-02-04 |
| 1548366081 | West Suburban Orthodontics | Dentist | 135 Addison Ave, Ste C, Elmhurst, IL 60126 | 2006-09-15 |
| 1861988123 | Elliot Steven Zharnitsky | Dentist | 4010 82nd St, Elmhurst, NY 11373-1305 | 2018-07-10 |
| 1053824987 | Manika Agarwal | Dentist | 275 N York St Ste 200, Elmhurst, IL 60126-2780 | 2017-11-14 |
| 1477902625 | Milan J. Doshi Dmd PC | Dentist | 135 S Robert T Palmer Dr, Suite 201, Elmhurst, IL 60126-3412 | 2016-06-08 |
| 1528402112 | Elmhurst Orthodontics, PC | Dentist | 79-11 41st Ave, Unit A107, Elmhurst, NY 11373-1258 | 2013-04-25 |
| 1700179710 | Keith Cyrus Keller | Dentist | 4010 82nd St, Elmhurst, NY 11373-1305 | 2011-05-24 |
| Find all providers in ELMHURST | ||||
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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.