JENNIFER E MIHALOPULOS (NPI# 1700863552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700863552 |
| Entity Type | Individual |
| Full Name | JENNIFER E MIHALOPULOS |
| Credential | DMD |
| Practice Address |
103 N. Appleknocker Cobden IL 62920-2117 |
| Mailing Address |
513 N Main St Anna IL 62906-1668 |
| Practice Telephone | 6188934005 |
| Practice Fax Number | 6188931476 |
| Mailing Telephone | 6188334471 |
| Mailing Fax Number | 6188338878 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2008-05-19 |
| NPI Deactivation Date | 03/31/2006 |
| NPI Reactivation Date | 2006-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019-026916 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 019-026916 | 05 |
| Street Address |
103 N. APPLEKNOCKER |
| City | COBDEN |
| State | IL |
| Zip Code | 62920-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930675 | Haley Estes | Social Worker | 413 N. Appleknocker Drive, Cobden, IL 62920 | 2017-09-04 |
| 1508313115 | Dee Dillon | Licensed Practical Nurse | 211 S Appleknocker St, Cobden, IL 62920 | 2016-09-01 |
| 1619165941 | Kristie Ann Russell | Counselor | 3455 Wing Hill Rd, Cobden, IL 62920 | 2007-10-11 |
| 1003873738 | Laura C Mears | Dentist | 103 N Appleknocker, Cobden, IL 62920 | 2006-04-27 |
| 1922277037 | Village Inn Cobden, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 114 Ash Street, Cobden, IL 62920-0457 | 2008-02-22 |
| 1245551688 | Renee Rose Juarez | Developmental Therapist | 440 Oak St, Cobden, IL 62920-2107 | 2010-06-21 |
| 1720104938 | Cobden Sch Unit Dist 17 | Clinic/Center | 413 N Appleknocker St, Cobden, IL 62920-2121 | 2007-03-21 |
| 1992218937 | Nancy Ellen Mcnitt | Registered Nurse | 413 N Appleknocker St, Cobden, IL 62920-2121 | 2017-11-13 |
| 1285152256 | Allison Brooke Wills | Speech-Language Pathologist | 413 N Appleknocker St, Cobden, IL 62920-2121 | 2017-08-30 |
| 1497922462 | Cobden Unit School District 17 | Clinic/Center | 413 N Appleknocker St, Cobden, IL 62920-2121 | 2008-05-09 |
| Find all providers in zip 62920 | ||||
| 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 |
|---|---|---|---|---|
| 1003873738 | Laura C Mears | Dentist | 103 N Appleknocker, Cobden, IL 62920 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
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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.