SHRUTI PORE (NPI# 1821413451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821413451 |
| Entity Type | Individual |
| Full Name | SHRUTI PORE |
| Credential | D.M.D |
| Practice Address |
1522 W Garfield Ave Bartonville IL 61607-1755 |
| Mailing Address |
1518 W Garfield Ave Bartonville IL 61607-1755 |
| Practice Telephone | 3096972228 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2015-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019030433 | IL | Dental Providers |
| Street Address |
1522 W GARFIELD AVE |
| City | BARTONVILLE |
| State | IL |
| Zip Code | 61607-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740362466 | Landall Cormier | Dentist | 1522 W Garfield Ave, Bartonville, IL 61607-1755 | 2006-10-20 |
| 1093048472 | Jessica Kathryn Dean | Dentist | 1522 W Garfield Ave, Bartonville, IL 61607-1755 | 2009-09-16 |
| 1720240971 | Richard L Bernard Jr. | Dentist | 1522 W Garfield Ave, Bartonville, IL 61607-1755 | 2008-06-30 |
| 1508948159 | Associates In Dentistry | Dentist | 1522 W Garfield Ave, Bartonville, IL 61607-1755 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053965517 | Sara Rearden | Speech-Language Pathologist | 4812 W. Pfeiffer Road, Bartonville, IL 61607 | 2019-08-01 |
| 1992141949 | Osf Aviation, LLC | Ambulance | 1400 S Johanson Rd, Peoria, IL 61607-1119 | 2013-05-17 |
| 1104141688 | Kelly L Lenz | Counselor | 2603 S High Meadow Dr, Peoria, IL 61607-1415 | 2010-03-29 |
| 1073715595 | Monroe School District 70 | Local Education Agency (LEA) | 5157 W Cisna Rd, Bartonville, IL 61607-1434 | 2007-06-05 |
| 1962575589 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1405 W Garfield Ave, Bartonville, IL 61607-1752 | 2006-11-15 |
| 1639716244 | Thomas Edward Patterson | Pharmacist | 1405 W Garfield Ave, Bartonville, IL 61607-1752 | 2019-12-02 |
| 1144665787 | Michelle Nicole Maloney | Student in an Organized Health Care Education/Training Program | 1518 W Garfield Ave, Bartonville, IL 61607-1755 | 2013-05-09 |
| 1053431551 | Beverly K Beekman | Pharmacy Technician | 1502 W Garfield Ave, Bartonville, IL 61607-1755 | 2007-03-29 |
| 1003818675 | Patricia J Estep | Nurse Practitioner | 1506 W Garfield Ave, Bartonville, IL 61607-1755 | 2005-08-12 |
| 1750822474 | Elizabeth Pautler | Nurse Practitioner | 1506 W Garfield Ave, Bartonville, IL 61607-1755 | 2017-03-14 |
| Find all providers in zip 61607 | ||||
| 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 |
|---|---|---|---|---|
| 1740563162 | Matthew Artho | Dentist | 74 Mcmakin Rd Ste 200, Bartonville, TX 76226-8438 | 2011-09-21 |
| 1619320967 | Country Lakes Family Dental | Dentist | 74 Mcmakin Rd Ste 200, Bartonville, TX 76226-8438 | 2016-07-21 |
| 1508948159 | Associates In Dentistry | Dentist | 1522 W Garfield Ave, Bartonville, IL 61607-1755 | 2006-10-20 |
| 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 | BARTONVILLE |
| Zip Code | 61607 |
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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.