DR. BRUCE CHISHOLM BENNETT (NPI# 1669486049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669486049 |
| Entity Type | Individual |
| Full Name | DR. BRUCE CHISHOLM BENNETT |
| Credential | D.D.S. |
| Practice Address |
625 West Rollins Rd Round Lake Beach IL 60073 |
| Mailing Address |
1443 North Willow St Lake Forest IL 60045 |
| Practice Telephone | 8475466644 |
| Practice Fax Number | 8475466645 |
| Mailing Telephone | 8472343014 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 15471 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225007818 | Bruce Wayne Bennett | Family Medicine | 3333 Brookview Hills Blvd Ste 204, Winston Salem, NC 27103-5661 | 2006-03-16 |
| 1720605397 | Bruce Adam Bennett | Registered Nurse | 610 Lincoln St, Centerville, SD 57014-2040 | 2020-06-30 |
| 1245387950 | Bruce S Bennett | Nurse Anesthetist, Certified Registered | 101 Dudley St, Providence, RI 02905-2401 | 2007-01-04 |
| 1952401713 | Bruce C Bennett | Psychiatry & Neurology | 1020 E 2nd St, Suite 100, Casper, WY 82601-2946 | 2006-09-22 |
| 1316960859 | Bruce Alan Bennett | Physician Assistant | 421 N Main St, Leeds, MA 01053-9764 | 2006-07-25 |
| 1225050073 | Bruce E Bennett | Nurse Anesthetist, Certified Registered | 830 Washington St, Watertown, NY 13601-4066 | 2006-07-24 |
| 1770518441 | Bruce Kevin Bennett | Obstetrics & Gynecology | 220 Hamburg Tpke, Wayne, NJ 07470-2110 | 2006-07-11 |
| 1750356622 | Bruce A Bennett | Surgery | 401 Phalen Blvd, Mail Stop 41104a, St Paul, MN 55101-5302 | 2006-02-22 |
| Street Address |
625 WEST ROLLINS RD |
| City | ROUND LAKE BEACH |
| State | IL |
| Zip Code | 60073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1225637614 | Sharice Ellenwood | Counselor | 1087 N Village Dr, Round Lake Beach, IL 60073 | 2020-10-18 |
| 1013521301 | Self Connected Therapy LLC | Clinic/Center | 2189 N. Rt. 83, #292, Round Lake Beach, IL 60073 | 2020-09-03 |
| 1538710900 | Mykola Rudyk | Dentist | 425 N Wilson Rd, Round Lake, IL 60073 | 2019-09-26 |
| 1205344173 | Shamari Mentoring Company | Counselor | 1020 W Rollins Rd, Rould Lake Heights, IL 60073 | 2018-01-13 |
| 1770007007 | Mary Burnett | Physical Therapy Assistant | 512 S Jade Lane, Round Lake, IL 60073 | 2017-07-28 |
| 1881055549 | Irina Akimova | Community Health Worker | 715 W. Judd Street, Woodstock, IL 60073 | 2016-03-09 |
| 1487051751 | Lawrence Scire | Specialist | 800 High School Drive, Round Lake, IL 60073 | 2014-12-02 |
| 1659778090 | Giacchino James Lech II | Specialist/Technologist | 609 S Jade Ln, Round Lake, IL 60073 | 2014-12-01 |
| 1407265283 | Linda Lee Eaton | Massage Therapist | 650 S Curran Road, Round Lake, IL 60073 | 2014-08-06 |
| Find all providers in zip 60073 | ||||
| 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 |
|---|---|---|---|---|
| 1184163495 | Smile Clinique, PC | Dentist | 2213 N Il Route 83, Round Lake Beach, IL 60073-4907 | 2017-02-20 |
| 1265832513 | Rollins Dental Center | Dentist | 916 E Rollins Rd, Round Lake Beach, IL 60073-2247 | 2014-08-23 |
| 1588086946 | Swan Dental P.C. | Dentist | 23 W Rollins Rd, Round Lake Beach, IL 60073-1350 | 2014-01-19 |
| 1871854042 | Consumate Dental P.c | Dentist | 825 E Rollins Rd, Round Lake Beach, IL 60073-2244 | 2012-06-05 |
| 1093973935 | James B Kowalczyk | Dentist | 1016 N Lake Shore Dr, Round Lake Beach, IL 60073-2745 | 2008-05-28 |
| 1275157349 | Lauren Biernacki | Dentist | 418 E Rollins Rd, Round Lake Beach, IL 60073-1334 | 2020-06-03 |
| 1245722040 | Debbie Rhie | Dentist | 418 E Rollins Rd, Round Lake Beach, IL 60073-1334 | 2018-06-06 |
| 1265959126 | Nicola Toritto | Dentist | 418 E Rollins Rd, Round Lake Beach, IL 60073-1334 | 2017-08-23 |
| 1053833673 | Dac Dental PC | Dentist | 305 E Rollins Rd, Round Lake Beach, IL 60073-1331 | 2017-07-14 |
| 1992240030 | Harini Katakamsetti | Dentist | 825 E Rollins Rd, Round Lake Beach, IL 60073-2244 | 2016-12-28 |
| Find all providers in ROUND LAKE BEACH | ||||
| City | ROUND LAKE BEACH |
| Zip Code | 60073 |
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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.