DR. BALEIGH AUTUMN DEITRICH (NPI# 1750909180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750909180 |
| Entity Type | Individual |
| Full Name | DR. BALEIGH AUTUMN DEITRICH |
| Credential | DDS |
| Practice Address |
101 S Garfield St Hinsdale IL 60521-4229 |
| Mailing Address |
145 Glenmora Dr Burr Ridge IL 60527-0317 |
| Practice Telephone | 6303235200 |
| Mailing Telephone | 5747215793 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019.032766 | IL | Dental Providers |
| Street Address |
101 S GARFIELD ST |
| City | HINSDALE |
| State | IL |
| Zip Code | 60521-4229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538615687 | Michael Mccormick | Dentist | 101 S Garfield St, Hinsdale, IL 60521-4229 | 2016-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256170 | Infinity Yoga LLC | Counselor | 702 Mills St, Hinsdale, IL 60521 | 2020-08-21 |
| 1427696855 | Anne Didier | Nurse Practitioner | 40 South Clay St., Suite 200, West Building, Hinsdale, IL 60521 | 2019-12-16 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
| 1639680275 | Kelly M Lyell | Psychologist | 950 S Oak St, Hinsdale, IL 60521 | 2017-10-23 |
| 1386169720 | Elizabeth Ann Thorsness | Counselor | 412 East Fourth St., Hinsdale, IL 60521 | 2017-08-07 |
| 1275057424 | Bryndal Nicole Chervinko | Audiologist | 908 North Elm Street, Suite 306, Hinsdale, IL 60521 | 2017-07-31 |
| 1972038990 | Carolyn M Ball | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521 | 2017-04-27 |
| 1710429964 | Smiling Star Speech & Language | Speech-Language Pathologist | 120 E Odgen Avenue, Suite 110, Hinsdale, IL 60521 | 2016-11-04 |
| 1972964773 | Sharon Grob Murphy | Psychologist | 728 S. Park Ave., Hinsdale, IL 60521 | 2016-03-08 |
| 1992187074 | Matthew Destefani | Emergency Medicine | 109 Symonds Dr # 578, Hinsdale, IL 60521 | 2015-06-24 |
| Find all providers in zip 60521 | ||||
| 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 |
|---|---|---|---|---|
| 1487004362 | Jonathan Asimakopoulos | Dentist | 911 N Elm St Ste 230, Hinsdale, IL 60521-3684 | 2016-06-21 |
| 1144527391 | Atlagic Dental, Dds PC | Dentist | 133 E Ogden Ave, Suite 200, Hinsdale, IL 60521-3551 | 2011-02-24 |
| 1649419938 | Kimberly Ann Dyoco I | Dentist | 522 Chestnut St Ste 2a, Hinsdale, IL 60521-3173 | 2009-02-11 |
| 1689682221 | John Richard Ellis | Dentist | 22 Blaine St, Hinsdale, IL 60521-4209 | 2006-08-03 |
| 1699764845 | Alina L Huff | Dentist | 5 W 2nd St Ste 7, Hinsdale, IL 60521-4134 | 2005-10-20 |
| 1407400633 | Katelyn Marie White | Dentist | 911 N Elm St Ste 230, Hinsdale, IL 60521-3684 | 2019-07-25 |
| 1952776783 | Richard Brenner | Dentist | 211 W Chicago Ave, Suite 110, Hinsdale, IL 60521-3355 | 2015-12-04 |
| 1730501669 | Adam R Winckler Dds PC | Dentist | 950 N York Rd, Suite 100, Hinsdale, IL 60521-2950 | 2014-01-12 |
| 1053748764 | David Ingallinera, Dds,pc | Dentist | 211 W Chicago Ave, Suite 216, Hinsdale, IL 60521-3355 | 2013-09-27 |
| 1386954477 | Patrick A Ohara | Dentist | 522 Chestnut St, Suite Ga, Hinsdale, IL 60521-3171 | 2010-10-07 |
| Find all providers in HINSDALE | ||||
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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.