DCP OF ILLINOIS (BLOOMINGDALE), LTD. (NPI# 1619127925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619127925 |
| Entity Type | Organization |
| Organization Name | DCP OF ILLINOIS (BLOOMINGDALE), LTD. |
| Other Organization Name | DENTALWORKS OF BLOOMINGDALE |
| Practice Address |
366 W. Army Trail Rd. Suite 310a Bloomingdale IL 60108-3888 |
| Mailing Address |
7160 Dallas Pkwy Ste 400 Plano TX 75024-7111 |
| Practice Telephone | 6302958203 |
| Practice Fax Number | 2165841060 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2018-03-20 |
| Authorized Official Name | RACHEL NITTINGER (MANAGER, CREDENTIALING) |
| Authorized Official Telephone | 9727550816 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTALONE PARTNERS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| DentalWorks of Bloomingdale | Doing Business As Name - Organization |
| Street Address |
366 W. ARMY TRAIL RD. SUITE 310A |
| City | BLOOMINGDALE |
| State | IL |
| Zip Code | 60108-3888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1427549427 | Soohee Choi | Nurse Practitioner | 303 E Army Trail Rd Ste 100, Bloomingdale, IL 60108 | 2018-05-24 |
| 1427571710 | Priya Sanil Mathew | Nurse Practitioner | 151 Los Lagos Dr, Bloomingdale, IL 60108 | 2017-07-19 |
| 1538610100 | Saher Sayed | Optometrist | 102 Stratford Dr., Bloomingdale, IL 60108 | 2016-10-19 |
| 1215388939 | Kathy Mcnulty, Lcsw, LLC | Community/Behavioral Health | 1 Tiffany Point, Suite 117, Bloomingdale, IL 60108 | 2016-06-23 |
| 1689023889 | Agnes G Nawrot | Nurse Practitioner | 348 Golfview Court, Bloomingdale, IL 60108 | 2016-06-08 |
| 1023484045 | Amber Cotter | Social Worker | 203 Regency Drive, Unit 519, Bloomingdale, IL 60108 | 2015-08-13 |
| 1891176988 | Gunveen Chawla | Dentist | 366 W Army Trail Rd Ste 310a, Bloomingdale, IL 60108 | 2015-06-15 |
| 1922492396 | Allison Marie Schnitzler | Family Medicine | 245 S Gary Ave Ste 100, Bloomingdale, IL 60108 | 2015-03-24 |
| Find all providers in zip 60108 | ||||
| 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 |
|---|---|---|---|---|
| 1568015568 | Mohammed Ahmed Mahdi Sr. | Dentist | 125 S Bloomingdale Rd Ste 9, Bloomingdale, IL 60108-1216 | 2019-07-18 |
| 1639508641 | Arden Dental, P.C. | Dentist | 303 E Army Trail Rd Ste 421, Bloomingdale, IL 60108-2155 | 2013-11-11 |
| 1164798864 | Gabriela V Duraes | Dentist | 156 E Lake St, Suite A, Bloomingdale, IL 60108-1184 | 2012-03-27 |
| 1952539439 | Phillip Kreg Mallow | Dentist | 70 Stratford Dr, Bloomingdale, IL 60108-2201 | 2009-06-23 |
| 1346401932 | Evelyn A Pabes | Dentist | 201 East Army Trail Rd, Suite 311, Bloomingdale, IL 60108-2138 | 2008-06-17 |
| 1407996580 | Sandra M Chic | Dentist | 120 Ridge Ave. Suite 20, Bloomingdale, IL 60108 | 2007-02-07 |
| 1992858674 | 176 Dental Associates Ltd | Dentist | 176 S Bloomingdale Rd, Bloomingdale, IL 60108-1404 | 2007-01-18 |
| 1245395946 | Carl M. Khalid | Dentist | 201 E Army Trail Rd Ste 302, Bloomingdale, IL 60108-2138 | 2006-12-25 |
| 1750457784 | Frank Andrew Cincione | Dentist | 109 Franklin St, Suite 1, Bloomingdale, IL 60108-2956 | 2006-11-28 |
| 1780756064 | My Dentist Family, Ltd. | Dentist | 76 Stratford Dr, Bloomingdale, IL 60108-2201 | 2006-11-14 |
| Find all providers in BLOOMINGDALE | ||||
| City | BLOOMINGDALE |
| Zip Code | 60108 |
Please comment or provide details below to improve the information on DCP OF ILLINOIS (BLOOMINGDALE), LTD..
| 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.