SARA RODEFFER (NPI# 1578915260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578915260 |
| Entity Type | Individual |
| Full Name | SARA RODEFFER |
| Other Name | SARA CROCKS |
| Credential | D.M.D |
| Practice Address |
3740 E Lake Ctr Suite B Quincy IL 62305-5805 |
| Practice Telephone | 2172144545 |
| Mailing Telephone | 2172144545 |
| Mailing Fax Number | 2172144546 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019.030790 | IL | Dental Providers |
| Street Address |
3740 E LAKE CTR SUITE B |
| City | QUINCY |
| State | IL |
| Zip Code | 62305-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760488514 | Coletta M Miller | Dentist | 3740 E Lake Ctr, Quincy, IL 62305-5805 | 2005-06-27 |
| 1740667849 | Midwest Orthopedic Specialists Inc | Chiropractor | 3740 E Lake Ctr, Quincy, IL 62305-5805 | 2015-04-28 |
| 1023231693 | Midwest Foot and Ankle Specialists PC | Podiatrist | 3740 E Lake Ctr, Quincy, IL 62305-5805 | 2007-04-11 |
| 1043335292 | Janet Elaine Martin | Dentist | 3740 E Lake Ctr, Suite B, Quincy, IL 62305-5805 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386999001 | Kristi Michelle Gillette | Internal Medicine | 5011 Oak St, Quincy, IL 62305 | 2012-07-18 |
| 1447582549 | Cathi Marie Webb | Counselor | 3701 E Lake Center Dr, Suite # 8 The Shaw Building, Quincy, IL 62305 | 2010-02-01 |
| 1285804450 | Curtis D Fauble | Dentist | 4561 Maine, Quincy, IL 62305 | 2008-03-04 |
| 1598940256 | Kelley Jo Begeman | Licensed Practical Nurse | 934 North 1903 Road Lane, Quincy, IL 62305 | 2007-12-31 |
| 1649459470 | Aa Dental Care PC | Dentist | 407 So 48th Street, Quincy, IL 62305 | 2007-10-29 |
| 1982803920 | Dennis Ryan Wagner | Dentist | 407 South 48th St, Quincy, IL 62305 | 2007-07-11 |
| 1689899056 | Capelle House | Day Training, Developmentally Disabled Services | 3325 Ghost Hollow Road, Quincy, IL 62305 | 2007-04-13 |
| 1750416236 | Julie A Danker | Social Worker | 2209 N 64th St, Quincy, IL 62305 | 2007-02-23 |
| 1942812300 | Brooke N Bracy | Dentist | 4561 Maine, Quincy, IL 62305 | 2020-08-18 |
| 1558997379 | Blessing Corporate Services, Inc | Clinic/Center | 4800 Maine St, Quincy, IL 62305 | 2020-03-13 |
| Find all providers in zip 62305 | ||||
| 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 |
|---|---|---|---|---|
| 1386201226 | Buffalo Prairie Dental Surgery and Sedation Center Pllc | Dentist | 126 N 30th St Ste 102, Quincy, IL 62301-3719 | 2019-05-28 |
| 1972091338 | Sunny Gaudet | Dentist | 130 Parkingway, Quincy, MA 02169-5058 | 2018-05-01 |
| 1891224465 | Xiuping Wang | Dentist | 332 Victory Rd Ste 3a, Quincy, MA 02171-3120 | 2017-06-07 |
| 1386045557 | Sobia Roohi | Dentist | 1071 Southern Artery, Apt 708, Quincy, MA 02169 | 2014-09-08 |
| 1801208681 | Susan Ma | Dentist | 500 Congress St Ste 3e, Quincy, MA 02169-0960 | 2014-05-28 |
| 1083054001 | Rohan Shantanu Kirtane | Dentist | 45 Newport Avenue, Aspendental, Quincy, MA 02169 | 2013-07-05 |
| 1629346499 | Lumiere Dental Spa, LLC | Dentist | 495 Sea St, Quincy, MA 02169-2742 | 2011-12-08 |
| 1821365784 | Dr Dental of Quincy PC | Dentist | 101 Falls Blvd, Quincy, MA 02169-8126 | 2011-11-21 |
| 1417238700 | Lora L Nation | Dentist | 331 S 36th St, Suite 1, Quincy, IL 62301-5840 | 2011-08-31 |
| 1295024073 | Ivana Adamov Dds, PC | Dentist | 111 Willard St, Suite 1b, Quincy, MA 02169 | 2011-04-01 |
| Find all providers in QUINCY | ||||
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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.