ADVANCED DENTAL CARE (NPI# 1801186986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801186986 |
| Entity Type | Organization |
| Organization Name | ADVANCED DENTAL CARE |
| Practice Address |
2457 N Lincoln Ave Chicago IL 60614-8509 |
| Practice Telephone | 7738710336 |
| Practice Fax Number | 7738710981 |
| Mailing Telephone | 7738710336 |
| Mailing Fax Number | 7738710981 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |
| Authorized Official Name | DR. FATEMEH KHAGHANI (DENTIST) |
| Authorized Official Telephone | 7738710336 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
IL | Dental Providers | |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
IL | Dental Providers | |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467987404 | Advanced Dental Care | Dentist | 950 W Stacy Rd, 150, Allen, TX 75013-9998 | 2017-04-27 |
| 1003366790 | Advanced Dental Care | Dentist | 388 Cambridge St, Burlington, MA 01803-1945 | 2016-10-06 |
| 1295182905 | Advanced Dental Care | Clinic/Center | 125 Wedgewood Dr, Columbia, IL 62236-1052 | 2016-05-23 |
| 1356647374 | Advanced Dental Care | Dentist | 965 E Columbus St, Kenton, OH 43326-1650 | 2011-02-09 |
| 1104152404 | Advanced Dental Care | Dentist | 3211 Wildwood Plantation Dr, Valdosta, GA 31605-1042 | 2009-10-22 |
| 1568694032 | Advanced Dental Care | Clinic/Center | 36 Bow St, Somerville, MA 02143-2934 | 2009-08-18 |
| 1922275718 | Advanced Dental Care | Dentist | 2 Executive Blvd Ofc 307, Suffern, NY 10901-4166 | 2008-05-12 |
| 1245433150 | Advanced Dental Care | Dentist | 532 S Oxford Valley Rd, Fairless Hills, PA 19030-2615 | 2007-06-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ADVANCED DENTAL CARE | 300 Sw Columbia St Ste 102, Bend, OR 97702 |
| Ohio Business Entities | ADVANCED DENTAL CARE & AESTHETICS - WALTERS | 4780 Clague Rd., North Olmsted, OH 44070 |
| New York State Corporations | ADVANCED DENTAL CARE OF WESTCHESTER, P.C. | 1329a North Ave, Ste 104, New Rochelle, New York 10804 |
| Virginia Business Entities | ADVANCED DENTAL CARE P.L.L.C. | 1707 Osage St Ste 402, Alexandria, Virginia 22302 |
| Iowa Business Entities | ADVANCED DENTAL CARE, P.C. | 2335 Blairsferry Road Ne, Cedar Rapids, IA 52402 |
| Street Address |
2457 N LINCOLN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-8509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841411592 | Fatemeh Roxanna Khaghani | Dentist | 2457 N Lincoln Ave, Chicago, IL 60614 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| 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 |
|---|---|---|---|---|
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1679181895 | Robert J Chacon | Dentist | 15 S Throop St Apt 206, Chicago, IL 60607-2522 | 2020-07-14 |
| 1629693304 | Priyanka Sikka | Dentist | 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 | 2020-06-09 |
| 1164045456 | Yong Chang Dds PC. | Dentist | 3531 N Western Ave Unit B, Chicago, IL 60618-6025 | 2020-05-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1831749944 | Kenwood Dental Group | Dentist | 1335 E 87th St Ste A, Chicago, IL 60619-7036 | 2019-09-19 |
| 1508412875 | Kamal Paresh Patel | Dentist | 1040 W Randolph St, Chicago, IL 60607-2215 | 2019-08-13 |
| 1003469636 | Ahmed Mansour | Dentist | 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 | 2019-07-23 |
| 1568024925 | John Michael Burnheimer II | Dentist | 11 S Green St Unit 1106, Chicago, IL 60607-1031 | 2019-07-05 |
| 1497317515 | Prasanth Dommaraju | Dentist | 3924 S Archer Ave, Chicago, IL 60632-1116 | 2019-06-29 |
| 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.