UIC COLLEGE OF DENTISTRY (NPI# 1720465099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720465099 |
| Entity Type | Organization |
| Organization Name | UIC COLLEGE OF DENTISTRY |
| Practice Address |
801 S Paulina St Restorative Dentistry 202l Chicago IL 60612-7210 |
| Practice Telephone | 3124132836 |
| Mailing Telephone | 3124132836 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | DR. COURTNEY C. LAMB (CLINICAL ASSOCIATE PROFESSOR) |
| Authorized Official Telephone | 3124132836 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
019019207 | IL | Ambulatory Health Care Facilities |
| Street Address |
801 S PAULINA ST RESTORATIVE DENTISTRY 202L |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-7210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018841 | Carlotta Ann Evans | Dentist | 801 S Paulina St, Mc 841, Chicago, IL 60612-7210 | 2005-10-25 |
| 1215537113 | Jose A Villanueva Iv | Student in an Organized Health Care Education/Training Program | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-10-29 |
| 1528666229 | Michelle Akemi Marcano | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-10-14 |
| 1558969527 | Maysaa Oubaidin | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-10-13 |
| 1639789936 | Jacqueline M Wisinski | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-08-03 |
| 1740898709 | Alexandria Rozgony | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-07-16 |
| 1679191928 | Milica Novakovic | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-07-13 |
| 1972121234 | Philip William Cannizzaro | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-07-13 |
| 1144847740 | Nada Abdallah | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-06-30 |
| 1356964480 | Pheba Marin Abraham | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629514 | Chicago Pediatric Dentistry and Orthodontics | Clinic/Center | 1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734 | 2020-11-03 |
| 1245858695 | Versiani Dental PC | Clinic/Center | 2340 N California Ave, Chicago, IL 60647-6622 | 2020-07-13 |
| 1710513478 | Ethicadent | Clinic/Center | 6418 W Belmont Ave Ste 101, Chicago, IL 60634-4099 | 2020-03-13 |
| 1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
| 1750912671 | Wicker Park Dental Studio | Clinic/Center | 1282 N Milwaukee Ave, Chicago, IL 60622-9319 | 2020-01-29 |
| 1811535404 | Secure Dental Vi | Clinic/Center | 3540 N Ashland Ave, Chicago, IL 60657-1314 | 2019-12-15 |
| 1154972768 | David K Mayes D.d.s L.t.d. | Clinic/Center | 9101 S Western Ave # 2ndfl, Chicago, IL 60643-6751 | 2019-09-25 |
| 1235787730 | Alta Dental LLC | Clinic/Center | 5892 S Archer Ave, Chicago, IL 60638-1658 | 2019-08-28 |
| 1982257218 | Allure Dental Lincoln Park | Clinic/Center | 558 W Diversey Pkwy, Chicago, IL 60614-1678 | 2019-07-16 |
| 1568026656 | Cjn Loop Dental Ltd | Clinic/Center | 30 N Michigan Ave Ste 622, Chicago, IL 60602-3821 | 2019-04-24 |
| Find all providers in CHICAGO | ||||
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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.