JONATHAN WILLIAM CRITER (NPI# 1740775576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740775576 |
| Entity Type | Individual |
| Full Name | JONATHAN WILLIAM CRITER |
| Credential | DDS |
| Practice Address |
3400 Ohio St Great Lakes IL 60088 |
| Mailing Address |
1088a Creeks Cross Rd Kohler WI 53044-1309 |
| Practice Telephone | 8476882100 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019031715 | IL | Dental Providers |
| Street Address |
3400 OHIO ST |
| City | GREAT LAKES |
| State | IL |
| Zip Code | 60088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858228 | Kathryn Ann Bird | Dentist | 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 | 2019-12-18 |
| 1134598733 | True Xiong | Dentist | Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 | 2015-09-24 |
| 1447685771 | Lisa Carol Perrone | Dentist | Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 | 2013-09-05 |
| 1437438421 | David Lawrence Green | Dentist | 2410 Samson St., Bldg 237, Great Lakes, IL 60088 | 2011-08-09 |
| 1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
| 1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
| 1164736302 | Clinton Lariscy | Military Health Care Provider | 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 | 2010-07-29 |
| 1083943906 | James Doll | Dentist | 2608 Paul Jones St, Great Lakes, IL 60088 | 2009-12-24 |
| 1396996823 | Kelly Robert Lanning | Dentist | 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 | 2008-10-02 |
| 1841453750 | Peter Jerome Hammes | Dentist | 3001a Sixth Street Bldg 200h 4e, Naval Health Clinic Great Lakes, Great Lakes, IL 60088 | 2008-07-10 |
| Find all providers in zip 60088 | ||||
| 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 |
|---|---|---|---|---|
| 1245769488 | Michael Robert Hess | Dentist | 530 Farragut Ave # B, Great Lakes, IL 60088-2920 | 2017-06-10 |
| 1841453750 | Peter Jerome Hammes | Dentist | 3001a Sixth Street Bldg 200h 4e, Naval Health Clinic Great Lakes, Great Lakes, IL 60088 | 2008-07-10 |
| 1831157783 | John Franklin Miller | Dentist | 3301a 6th St, Bldg 1017, Great Lakes, IL 60088-0001 | 2006-05-02 |
| 1346215480 | Gregory C Browning | Dentist | 310c B St, Bldg 1h, Great Lakes, IL 60088 | 2006-02-22 |
| 1376517672 | Stephen Michael Parker | Dentist | 601 D St, Great Lakes, IL 60088-2822 | 2006-02-14 |
| 1902877350 | Timothy Paul Fitzharris | Dentist | 2730 Sampson Rd, Great Lakes, IL 60088-2852 | 2006-02-01 |
| 1952371031 | Sang Soo John Grzesik | Dentist | 3001 'a' 6th St, Nhc Great Lakes, Great Lakes, IL 60088 | 2006-01-23 |
| 1396725529 | Darryl Lamar Jones | Dentist | 3001 A 6th Street, Great Lakes, IL 60088 | 2006-01-23 |
| 1144208646 | Eslin Louise Mornay | Dentist | 3001a Sixth St., Naval Hospital Great Lakes, Great Lakes, IL 60088 | 2006-01-04 |
| 1376528083 | Joseph Neil Dehoogh | Dentist | 3001 6th St Ste A, Great Lakes, IL 60088-2833 | 2005-12-14 |
| Find all providers in GREAT LAKES | ||||
| City | GREAT LAKES |
| Zip Code | 60088 |
Please comment or provide details below to improve the information on JONATHAN WILLIAM CRITER.
| 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.