LISLE FAMILY DENTAL INC (NPI# 1710373550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710373550 |
| Entity Type | Organization |
| Organization Name | LISLE FAMILY DENTAL INC |
| Practice Address |
3033 Ogden Ave Suite 114 Lisle IL 60532-1673 |
| Practice Telephone | 6309611030 |
| Practice Fax Number | 6309610223 |
| Mailing Telephone | 6309611030 |
| Mailing Fax Number | 6309610223 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |
| Authorized Official Name | DR. FARIHA SIDDIQUI (PARTNER) |
| Authorized Official Telephone | 7738806054 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019027922 | IL | Dental Providers |
| Street Address |
3033 OGDEN AVE SUITE 114 |
| City | LISLE |
| State | IL |
| Zip Code | 60532-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628057 | Dupage Health Specialists Sc | Obstetrics & Gynecology | 3033 Ogden Ave, Suite 300, Lisle, IL 60532-1673 | 2005-09-07 |
| 1083002547 | Dupage Family Chiropractic PC | Chiropractor | 3033 Ogden Ave, Suite 112, Lisle, IL 60532-1673 | 2015-01-06 |
| 1861898165 | Michael Genslinger | Chiropractor | 3033 Ogden Ave, Suite 112, Lisle, IL 60532-1673 | 2014-11-13 |
| 1245650126 | George Jemison | Counselor | 3033 Ogden Ave, Suite 210, Lisle, IL 60532-1673 | 2014-04-18 |
| 1124440474 | Monica Kannenwischer | Marriage & Family Therapist | 3033 Ogden Ave, Suite 210, Lisle, IL 60532-1673 | 2014-01-06 |
| 1306277926 | Joel A. Bartlett | Counselor | 3033 Ogden Ave, Suite 210, Lisle, IL 60532-1673 | 2013-12-07 |
| 1366716425 | Dupage Health Specialist 2 LLC | Internal Medicine | 3033 Ogden Ave, Suite 101, Lisle, IL 60532-1673 | 2012-03-06 |
| 1962782052 | Edward Health Ventures | Internal Medicine | 3033 Ogden Ave, Ste 101, Lisle, IL 60532-1673 | 2011-08-22 |
| 1699099648 | Maliha Ammar Sayla | Obstetrics & Gynecology | 3033 Ogden Ave, Suite 300, Lisle, IL 60532-1673 | 2010-03-19 |
| 1104159896 | Zvezdana Ilic Bogojevic | Internal Medicine | 3033 Ogden Ave, Ste 101, Lisle, IL 60532-1673 | 2009-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326675760 | Contemporary Wellness, LLC | Counselor | 4300 Commerce Court, Suite 300-9, Lisle, IL 60532 | 2020-03-25 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1598305849 | Peter Sismour | Counselor | 4603 Main Street, Lisle, IL 60532 | 2020-01-14 |
| 1336634856 | Forward Emotion, LLC | Counselor | 3060 Ogden Ave Ste 102, Lisle, IL 60532 | 2018-06-27 |
| 1801397179 | David Rodemaker | Psychologist | 1500 Eisenhower Lane, Suite 300, Lisle, IL 60532 | 2018-02-22 |
| 1801325139 | Naperville Psychological Associates LLC | Psychologist | 6010 S Route 59, Suite B, Lisle, IL 60532 | 2017-06-09 |
| 1831649730 | Paige Diesner | Physician Assistant | 430 Warrenville Rd., Ste 300, Lisle, IL 60532 | 2016-10-04 |
| 1174978860 | Lisa Schaedler | Social Worker | 4774 Hill Trail Rd Apt 2c, Lisle, IL 60532 | 2016-04-29 |
| 1831578962 | Farah Budd | Occupational Therapist | 748 Riedy Rd, Lisle, IL 60532 | 2015-05-21 |
| 1649602822 | Marie Ann Markham Gonzalez | Developmental Therapist | 5629 Dover Dr, Lisle, IL 60532 | 2013-07-30 |
| Find all providers in zip 60532 | ||||
| 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 |
|---|---|---|---|---|
| 1669935193 | Prairie Dental Partners LLC | Dentist | 4746 Main St, Lisle, IL 60532-1724 | 2019-04-11 |
| 1609368604 | Eddy Romero Matos | Dentist | 4518 Beau Monde Dr Apt 106, Lisle, IL 60532-1519 | 2018-06-05 |
| 1487104188 | Marcus Mercer | Dentist | 5526 E Lake Dr, A, Lisle, IL 60532-2691 | 2016-10-06 |
| 1417124686 | Michael J Gonda | Dentist | 4745 Main Street, Suite 201, Lisle, IL 60532 | 2008-05-15 |
| 1174606487 | Barbara Anee Chang | Dentist | 6070 Route 53, Lisle, IL 60532-3395 | 2006-10-23 |
| 1376658674 | Michael J Gonda Dds Ltd | Dentist | 4745 Main St, Suite 201, Lisle, IL 60532 | 2006-08-20 |
| 1407367857 | Marcus Mercer | Dentist | 5526 E Lake Dr, Lisle, IL 60532-2691 | 2017-10-12 |
| 1891921292 | Neeta F. Bhushan Dds PC | Dentist | 4712 Main St, Lisle, IL 60532 | 2009-05-31 |
| 1972749844 | James Lawrence Bergschneider | Dentist | 6448 College Rd, Lisle, IL 60532-3290 | 2008-12-26 |
| 1811144199 | Chang Dental Center Ltd | Dentist | 6070 State Route 53, Lisle, IL 60532-3395 | 2008-08-19 |
| Find all providers in LISLE | ||||
Please comment or provide details below to improve the information on LISLE FAMILY DENTAL INC.
| 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.