DR. EDWARD STEVEN GOLOM (NPI# 1700025210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700025210 |
| Entity Type | Individual |
| Full Name | DR. EDWARD STEVEN GOLOM |
| Credential | DDS |
| Practice Address |
8336 Archer Ave Willow Springs IL 60480-1468 |
| Practice Telephone | 7088399636 |
| Mailing Telephone | 7088399636 |
| Enumeration Date | 2009-02-08 |
| Last Update Date | 2009-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019.015546 | IL | Dental Providers |
| Street Address |
8336 ARCHER AVE |
| City | WILLOW SPRINGS |
| State | IL |
| Zip Code | 60480-1468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578091666 | Macayla Lenzi | Physical Therapy Assistant | 8434 Cocoran Road, Willow Springs, IL 60480 | 2017-06-01 |
| 1083997662 | Soohyun Jessica Chon | Pharmacist | 131 Patrick Ave, Willow Springs, IL 60480 | 2011-09-21 |
| 1851684625 | Stephen M Wright | Counselor | 8615 Liberty Grove Dr., Willow Springs, IL 60480 | 2011-05-26 |
| 1942509526 | Mainstreet Accessibility Inc | Durable Medical Equipment & Medical Supplies | 8695 South Archer Ave, Unit 7, Willow Springs, IL 60480 | 2011-03-22 |
| 1659743078 | Rayna Murphy | Student in an Organized Health Care Education/Training Program | 8624 Dory Ln, Willow Springs, IL 60480-1025 | 2015-10-25 |
| 1528254331 | Thomas Elliot Krupa | Dentist | 8240 Wolf Rd, Willow Springs, IL 60480-1084 | 2007-09-15 |
| 1407253909 | Agnieszka Rabrich | Chiropractor | 8240 Wolf Rd, Willow Springs, IL 60480-1084 | 2014-11-26 |
| 1538494703 | Krupa Dental Care, P.C. | Clinic/Center | 8240 Wolf Rd, Willow Springs, IL 60480-1084 | 2009-10-06 |
| 1821219619 | Nicole Marie Kostelc | Pharmacist | 8400 Willow West Dr, Willow Springs, IL 60480-1140 | 2007-05-01 |
| 1770735433 | Mary Terese Anne Squeo | Recreation Therapist | 8626 Dunbar St, Willow Springs, IL 60480-1165 | 2008-10-14 |
| Find all providers in zip 60480 | ||||
| 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 |
|---|---|---|---|---|
| 1912151960 | Matthew Eugene Mansfield | Dentist | 2729 State Route 76 West, Willow Springs, MO 65793 | 2008-11-04 |
| 1568612810 | Manfred William Neumann | Dentist | 8265 Archer Ave, Willow Springs, IL 60480-1586 | 2008-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629076 | Align Dental Group PC. | Dentist | 2605 Grand Ave Ste A, Waukegan, IL 60085-2410 | 2020-11-06 |
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1982201505 | Ashley Rodriguez | Dentist | 2208 N Mannheim Rd, Melrose Park, IL 60164-1837 | 2020-10-06 |
| 1831796853 | Shaista Hasan | Dentist | 1840 Harvest Ln, Glendale Heights, IL 60139-1939 | 2020-10-02 |
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1477160190 | Smilesbysangha LLC | Dentist | 118 Barrington Commons Ct Ste 201, Barrington, IL 60010-3259 | 2020-09-27 |
| 1477160331 | Samer Mosoof | Dentist | 9 Monroe Ct, Streamwood, IL 60107-1365 | 2020-09-24 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1275145534 | Moondrift Sleep Solutions, LLC | Dentist | 837 N Wilke Rd, Arlington Heights, IL 60005-1047 | 2020-08-18 |
| 1023629664 | Mockunas Dental PC | Dentist | 13530 S Route 59 Unit 120, Plainfield, IL 60544-5659 | 2020-08-16 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW SPRINGS |
| Zip Code | 60480 |
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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.