DENTISTAR PC (NPI# 1598203770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598203770 |
| Entity Type | Organization |
| Organization Name | DENTISTAR PC |
| Practice Address |
1615 Milwaukee Ave Ste 120 Glenview IL 60025-1444 |
| Practice Telephone | 2249389417 |
| Practice Fax Number | 2249389453 |
| Mailing Telephone | 2249389417 |
| Mailing Fax Number | 2249389453 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| Authorized Official Name | DR. SAM SHIN (DENTIST) |
| Authorized Official Telephone | 2249389417 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019027805 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457894321 | Dentistar PC | Dentist | 205 Harvard Ave, Allston, MA 02134-4617 | 2016-11-28 |
| Street Address |
1615 MILWAUKEE AVE STE 120 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60025-1444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287118 | Nl Speech and Language Path LLC | Speech-Language Pathologist | 1315 Sherwood Rd., Glenview, IL 60025 | 2018-03-01 |
| 1982128021 | Quinn Goodwin | Speech-Language Pathologist | 41 Waukegan Rd., Glenview, IL 60025 | 2017-07-31 |
| 1447773684 | Roshni Jaimon | Nurse Practitioner | 616 Meadow Dr, Glenview, IL 60025 | 2017-07-19 |
| 1053840488 | Progressive Behavior Solutions LLC | Behavioral Analyst | 2519 Allison Court, Glenview, IL 60025 | 2017-06-08 |
| 1720529969 | Catherine Marquard | Social Worker | 1949 Robincrest Ln, Glenview, IL 60025 | 2017-03-20 |
| 1073055398 | Imad Dababneh | Optometrist | 4150 Williamsburg Ct. Apt 101, Glenview, IL 60025 | 2016-11-17 |
| 1417400565 | Megan Bowman | Nutritionist | 1332 Waukegan Rd., Glenview, IL 60025 | 2016-07-25 |
| 1548621402 | Integrated Care Servises Corp | In Home Supportive Care | 4001 Amalfi Dr., Glenview, IL 60025 | 2016-03-18 |
| 1003277237 | Caring Nurses, Inc | Home Health | 1701 East Lake Ave, Suite 360, Glenview, IL 60025 | 2016-03-16 |
| 1033570841 | Sumy Johny | Pharmacist | 25 Waukegan Road, Glenview, IL 60025 | 2016-03-08 |
| Find all providers in zip 60025 | ||||
| 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 |
|---|---|---|---|---|
| 1124417282 | Yummy Dental and Orthodontics for Kids, Ltd. | Dentist | 1521 Waukegan Rd, Glenview, IL 60025-2122 | 2015-01-13 |
| 1306241138 | Jeffrey Gilmor Dds Ltd | Dentist | 2222 Chestnut Ave Ste 200, Glenview, IL 60026-1679 | 2014-10-22 |
| 1942638358 | Steven Sokolik | Dentist | 1775 Glenview Rd Ste 206, Glenview, IL 60025-2900 | 2013-10-22 |
| 1043559578 | Jane Ellen Badegian | Dentist | 1304 Waukegan Road, Glenview, IL 60025 | 2013-02-04 |
| 1881929792 | Elizabeth Zwolinska Dds PC | Dentist | 706 Beaver Rd, Glenview, IL 60025-3430 | 2009-10-09 |
| 1457584260 | Christina C Jacob | Dentist | 602 Revere Rd, Glenview, IL 60025-3941 | 2009-08-26 |
| 1992979660 | Badegian Dental Group, P.C. | Dentist | 1304 Waukegan Rd, Glenview, IL 60025-3022 | 2008-04-14 |
| 1649476003 | Christine Louise Culp | Dentist | 620 Chatham Rd, Glenview, IL 60025-4402 | 2007-06-22 |
| 1346462975 | The Glen Dental Center P C | Dentist | 2222 Chestnut Ave., Suite200, Glenview, IL 60026 | 2007-05-03 |
| 1285754903 | Cynthia T Chin | Dentist | 1132 Waukegan Rd, Suite 201, Glenview, IL 60025 | 2007-03-29 |
| Find all providers in GLENVIEW | ||||
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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.