THE DENTAL SPECIALISTS (NPI# 1780810630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780810630 |
| Entity Type | Organization |
| Organization Name | THE DENTAL SPECIALISTS |
| Practice Address |
1424 E 53rd St #209 Chicago IL 60615-4500 |
| Practice Telephone | 7736673636 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |
| Authorized Official Name | RAJAN SHARMA (OWNER) |
| Authorized Official Telephone | 7736673636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
021-001569 | IL | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
021-001569 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548640485 | The Dental Specialists | Dentist | 5215 Old Orchard Rd, Suite 200, Skokie, IL 60077-1035 | 2015-06-05 |
| 1417183369 | The Dental Specialists | Dentist | 18213 Dixie Hwy, Homewood, IL 60430-2205 | 2009-06-05 |
| 1518193465 | The Dental Specialists | Dentist | 1585 Barrington Rd, Suite #301, Dr Building 2, Hoffman Estates, IL 60169-1090 | 2009-06-05 |
| 1700911146 | The Dental Specialists | Dentist | 6319 Fairview Ave, 103, Westmont, IL 60559-2888 | 2007-02-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | THE DENTAL SPECIALISTS NETWORK, LLC | 1575 Cross Creeks Blvd., Pickerington, OH 43147 |
| Street Address |
1424 E 53RD ST #209 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750378006 | Rolande D Balan | Chiropractor | 1424 E 53rd St, Suite 203, Chicago, IL 60615-4500 | 2005-10-03 |
| 1699018689 | Jesyka E Thomas | Speech-Language Pathologist | 1424 E 53rd St, Suite 307, Chicago, IL 60615-4500 | 2013-03-28 |
| 1225264179 | Rajan Sharma, Dds, Msd, PC | Dentist | 1424 E 53rd St, #209, Chicago, IL 60615-4500 | 2009-06-05 |
| 1366598534 | Rufus Lawshea | Dentist | 1424 E 53rd St, 307, Chicago, IL 60615-4500 | 2007-01-28 |
| 1376615518 | Chicago Surgicare, PC | Clinic/Center | 1424 E 53rd St, Chicago, IL 60615-4500 | 2006-11-14 |
| 1700957271 | Elaine F Ward | Chiropractor | 1424 E 53rd St, Suite 203, Chicago, IL 60615-4500 | 2006-11-13 |
| 1912081324 | Arnell A. Brady | Speech-Language Pathologist | 1424 E 53rd St, Suite 307, Chicago, IL 60615-4500 | 2006-10-24 |
| 1104926344 | Hyde Park Chiropractic Wellness Center Sc | Chiropractor | 1424 E 53rd St, Suite 203, Chicago, IL 60615-4500 | 2006-09-25 |
| 1750312690 | Mitchell Foot & Ankle PC | Podiatrist | 1424 E 53rd St, Suite 301, Chicago, IL 60615-4500 | 2006-07-06 |
| 1356372197 | Charles L Mitchell | Podiatrist | 1424 E 53rd St, Suite 301, Chicago, IL 60615-4500 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255986576 | Othman Rezki | Dentist | 1900 W Polk St # 611, Chicago, IL 60612-3723 | 2019-08-04 |
| 1790146132 | Family Millennium Dentistry, Inc. | Dentist | 1342 W Randolph St, Chicago, IL 60607-1522 | 2016-03-13 |
| 1962769422 | Dr. Sunil Sinha and Associates Inc. | Dentist | 850 South Wabash Avenue, Suite 310, Chicago, IL 60605 | 2012-04-20 |
| 1669746418 | Biraj M. Shah | Dentist | 1900 W Polk St Ste 612, Chicago, IL 60612 | 2012-02-25 |
| 1417248261 | Jordan Ray Ledger | Dentist | 1229 W Washington Blvd, Suite 220, Chicago, IL 60607-2132 | 2011-04-27 |
| 1336377456 | Jason Sean Schrotenboer | Dentist | 3927 W Belmont Ave Ste 101, Chicago, IL 60618-5170 | 2009-06-26 |
| 1326293226 | Richard J Bret | Dentist | 7100 W. Higgins, Chicago, IL 60656 | 2008-11-20 |
| 1467607556 | Ora Studios | Dentist | 1827 S Michigan Ave, Chicago, IL 60616-1601 | 2008-11-18 |
| 1831342377 | Raza Ali Hussain | Dentist | 1025 W Monroe St Unit 3w, Chicago, IL 60607-2745 | 2008-10-28 |
| 1760679294 | Armitage Oral Surgery | Dentist | 2220 W Armitage Ave, Chicago, IL 60647-4461 | 2007-09-28 |
| 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.