DR. LION GRENADER (NPI# 1720501380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720501380 |
| Entity Type | Individual |
| Full Name | DR. LION GRENADER |
| Credential | DMD |
| Practice Address |
644 Sheridan Rd # D Winthrop Harbor IL 60096-1350 |
| Mailing Address |
400 Penny Ln Grayslake IL 60030-3737 |
| Practice Telephone | 8478725626 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019031298 | IL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10904 N Main St, Richmond, IL 600717717 | 8158621112 | |
| 417 E Il Route 173 Unit 113, Antioch, IL 600029407 | 8473955550 |
| Street Address |
644 SHERIDAN RD # D |
| City | WINTHROP HARBOR |
| State | IL |
| Zip Code | 60096-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831332469 | Winthrop Harbor School District #1 | Local Education Agency (LEA) | 500 North Ave, Winthrop Harbor, IL 60096-1186 | 2009-04-13 |
| 1306853429 | Winthrop Harbor Dental Center | Dentist | 644 Sheridan Rd, Suite 105, Winthrop Harbor, IL 60096-1350 | 2006-08-02 |
| 1427071828 | Michael A. Damko | Dentist | 644 Sheridan Rd, Suite 105, Winthrop Harbor, IL 60096-1350 | 2006-07-26 |
| 1104171917 | Susan R. Davis Therapies, Inc. | Community/Behavioral Health | 3804 11th St, Winthrop Harbor, IL 60096-1461 | 2012-07-17 |
| 1952848756 | Joan Thornton | Licensed Practical Nurse | 743 Russell Ave, Winthrop Harbor, IL 60096-1544 | 2017-01-31 |
| 1871528133 | Village of Winthrop Hbr | Ambulance | 830 Sheridan Rd, Winthrop Harbor, IL 60096-1632 | 2006-07-12 |
| 1043219652 | Harbor Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1707 7th St, Suite 4, Winthrop Harbor, IL 60096-1656 | 2005-07-15 |
| 1992844773 | Jackie Lynne Schilling | Pharmacist | 1707 7th St, Suite 4, Winthrop Harbor, IL 60096-1656 | 2007-02-06 |
| 1013056605 | Louis M. Abboud | Pharmacist | 1707 7th St, Winthrop Harbor, IL 60096-1656 | 2007-02-06 |
| 1205973609 | Harbor Pharmacy Inc | Pharmacy | 1707 7th St, Suite 4, Winthrop Harbor, IL 60096-1656 | 2007-02-01 |
| Find all providers in zip 60096 | ||||
| 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 |
|---|---|---|---|---|
| 1427071828 | Michael A. Damko | Dentist | 644 Sheridan Rd, Suite 105, Winthrop Harbor, IL 60096-1350 | 2006-07-26 |
| 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 | WINTHROP HARBOR |
| Zip Code | 60096 |
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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.