PROCARE DENTAL GROUP, P.C. (NPI# 1811054059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811054059 |
| Entity Type | Organization |
| Organization Name | PROCARE DENTAL GROUP, P.C. |
| Other Organization Name | VILLAGE SQUARE DENTISTRY |
| Practice Address |
715 Ela Rd Ste 1a Lake Zurich IL 60047-6300 |
| Mailing Address |
605 E Algonquin Rd Ste 300 Arlington Heights IL 60005-4373 |
| Practice Telephone | 8477267908 |
| Practice Fax Number | 8477267839 |
| Mailing Telephone | 8476401112 |
| Mailing Fax Number | 8476401107 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT G. BRUNETTI (C.E.O.) |
| Authorized Official Telephone | 8476401112 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Village Square Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528246212 | Procare Dental Group, P.C. | Dentist | 434 West Ontario Street, Ste 300, Chicago, IL 60654 | 2008-02-05 |
| 1669539904 | Procare Dental Group, P.C. | Dentist | 805 Mchenry Ave, Crystal Lake, IL 60014-9794 | 2007-01-03 |
| 1821160904 | Procare Dental Group, P.C. | Dentist | 1057 N Northwest Hwy, Park Ridge, IL 60068-1805 | 2006-11-14 |
| 1114975828 | Procare Dental Group, P.C. | Dentist | 605 E Algonquin Rd, Suite 300, Arlington Heights, IL 60005-4373 | 2006-05-05 |
| 1841357084 | Procare Dental Group, P.C. | Dentist | 820 Davis St, Ste 460, Evanston, IL 60201-4431 | 2007-01-03 |
| 1578620712 | Procare Dental Group, P.C. | Dentist | 2266 N Lincoln Ave, Unit 1, Chicago, IL 60614-3718 | 2007-01-03 |
| 1124185467 | Procare Dental Group, P.C. | Dentist | 5445 Grand Ave, Ste 202, Gurnee, IL 60031-1725 | 2007-01-03 |
| 1912064155 | Procare Dental Group, P.C. | Dentist | 115 S Grove Ave, Ste 204, Elgin, IL 60120-6430 | 2007-01-03 |
| 1649337882 | Procare Dental Group, P.C. | Dentist | 5301 E State St, Ste 307a, Rockford, IL 61108-2901 | 2007-01-03 |
| 1215094883 | Procare Dental Group, P.C. | Dentist | 7 Blanchard Cir, Ste Llg, Wheaton, IL 60187-1037 | 2007-01-03 |
| Street Address |
715 ELA RD STE 1A |
| City | LAKE ZURICH |
| State | IL |
| Zip Code | 60047-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427061316 | Katherine A Hauf | Dentist | 715 Ela Rd, Ste 1a, Lake Zurich, IL 60047-6300 | 2006-08-14 |
| 1184756215 | Kirsten Galayda | Dentist | 715 Ela Rd, Suite 1a, Lake Zurich, IL 60047-6300 | 2007-03-12 |
| 1033217328 | Robert Glen Kellermann | Chiropractor | 715 Ela Rd, Suite 2a, Lake Zurich, IL 60047-6300 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871142547 | Terry Solberg | Technician | 25 Robin Crest Rd, Hawthorn Woods, IL 60047 | 2019-09-05 |
| 1073083614 | Cody Colleen Todd | Counselor | 21361 W Brandon Rd, Kildeer, IL 60047 | 2018-11-27 |
| 1861983694 | Ahmad Family Primary Care, S.c. | Family Medicine | 350 Surryse Rd Ste 240, Lake Zurich, IL 60047 | 2018-05-29 |
| 1508371972 | Joy Anne Margolis | Speech-Language Pathologist | 4151 Robert Parker Coffin Rd, Long Grove, IL 60047 | 2017-12-07 |
| 1982118576 | Stephanie Marie Luebbe | Specialist/Technologist | 30 Seneca Ave W, Hawthorn Woods, IL 60047 | 2017-11-19 |
| 1447785498 | Kayla Stavnes | Student in an Organized Health Care Education/Training Program | 23537 N Garden Ln, Lake Zurich, IL 60047 | 2017-04-27 |
| 1104366491 | Lindsay Pearlman & Associates | Psychologist | 4160 Rte 83, Suite 307, Long Grove, IL 60047 | 2017-03-06 |
| 1164969929 | Lauren Christine Hallerud | Counselor | 4180 Il-83, Suite 10, Long Grove, IL 60047 | 2017-01-31 |
| 1790220820 | Long Grove Center for Emotional Health LLC | Counselor | 4180 Rfd, Suite 10, Long Grove, IL 60047 | 2016-12-28 |
| 1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
| Find all providers in zip 60047 | ||||
| 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 |
|---|---|---|---|---|
| 1376610659 | New Age Dental Associates | Dentist | 245 N Rand Rd, New Age Dental Associates, Lake Zurich, IL 60047 | 2006-11-29 |
| 1184793465 | Marc Kaplan | Dentist | 950 W. Route 22, Suite 119, Lake Zurich, IL 60047 | 2006-11-08 |
| 1639503519 | Kristin Nicole Moore | Dentist | 900 W Il Route 22, Suite 170, Lake Zurich, IL 60047-3416 | 2013-08-27 |
| 1700037785 | Kristen Marie Joyce | Dentist | 775 W Main St, Lake Zurich, IL 60047-2348 | 2008-10-08 |
| 1184756215 | Kirsten Galayda | Dentist | 715 Ela Rd, Suite 1a, Lake Zurich, IL 60047-6300 | 2007-03-12 |
| 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 | LAKE ZURICH |
| Zip Code | 60047 |
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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.