SECURE DENTAL VI (NPI# 1598231698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598231698 |
| Entity Type | Organization |
| Organization Name | SECURE DENTAL VI |
| Practice Address |
106 16th St Unit #90 Moline IL 61265 |
| Mailing Address |
502 Riverside Dr East Peoria IL 61611-2068 |
| Practice Telephone | 3097970888 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| Authorized Official Name | NAZISH HASAN JAFRI (DENTIST) |
| Authorized Official Telephone | 3096818888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Secure Dental Rock Island | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535404 | Secure Dental Vi | Clinic/Center | 3540 N Ashland Ave, Chicago, IL 60657-1314 | 2019-12-15 |
| Street Address |
106 16TH ST UNIT #90 |
| City | MOLINE |
| State | IL |
| Zip Code | 61265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| 1033485305 | Moe Phyu Tun | Radiology | 615 Valley View Dr Ste 202, Moline, IL 61265 | 2012-03-30 |
| Find all providers in zip 61265 | ||||
| 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 |
|---|---|---|---|---|
| 1346623519 | Jennifer Lee Worner | Dentist | 2929 41st St, Moline, IL 61265-7858 | 2015-07-07 |
| 1891117198 | Ji Ma | Dentist | 4601 16th St Unit 12, Moline, IL 61265-7000 | 2014-01-06 |
| 1164774766 | Thomas James Goebel | Dentist | 1601 River Dr, Suite 300, Moline, IL 61265-1494 | 2012-10-05 |
| 1952618902 | Michael Laughlin Dds PC | Dentist | 4404 16th St, Moline, IL 61265-7012 | 2010-09-10 |
| 1023246451 | Jamie Dominic Nonnenmann | Dentist | 3823 - 15th St. D, Moline, IL 61265 | 2009-06-24 |
| 1922270784 | Gregory Anthony Solis | Dentist | 7017 John Deere Pkwy Ste 2b, Moline, IL 61265-8072 | 2008-04-01 |
| 1780853366 | Jacquelyn L Richardson | Dentist | 609 35th Ave Ste 3, Moline, IL 61265-6146 | 2008-02-27 |
| 1033234851 | Mark D Bollaert | Dentist | 3001 41st St, Moline, IL 61265-7826 | 2007-03-20 |
| 1811059413 | Troy James Roeder | Dentist | 5030 38th Avenue, Suite 1, Moline, IL 61265 | 2006-12-14 |
| 1720196447 | John Williams Dds, PC | Dentist | 2132 6th Ave, Moline, IL 61265-1419 | 2006-08-25 |
| Find all providers in MOLINE | ||||
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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.