GRANVILLE DENTAL, LLC (NPI# 1821536368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821536368 |
| Entity Type | Organization |
| Organization Name | GRANVILLE DENTAL, LLC |
| Practice Address |
100 N Mccoy St Granville IL 61326-9329 |
| Practice Telephone | 8153396888 |
| Mailing Telephone | 8153396888 |
| Enumeration Date | 2017-02-04 |
| Last Update Date | 2017-02-04 |
| Authorized Official Name | DR. ROBERT DAWE (OWNER) |
| Authorized Official Telephone | 8153396888 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019016044 | IL | Dental Providers |
| Street Address |
100 N MCCOY ST |
| City | GRANVILLE |
| State | IL |
| Zip Code | 61326-9329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445025 | Robert Bruce Dawe | Dentist | 100 N Mccoy St, Granville, IL 61326-9329 | 2005-05-24 |
| 1104054022 | Evan Deuth Fiedler | Dentist | 100 N Mccoy St, Granville, IL 61326-9329 | 2009-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286941 | Axline's Inc. | Pharmacy | 324 S. Mccoy Street, Granville, IL 61326 | 2013-11-20 |
| 1538367917 | Yepsen Chiropractic Inc | Chiropractor | 108 South Mccoy Street, Granville, IL 61326 | 2007-07-06 |
| 1447363585 | Shawn E Bailey | Family Medicine | 309 South Mccoy Street, Granville, IL 61326 | 2006-08-15 |
| 1730152299 | Alan Robert Yepsen | Chiropractor | 108 S Mccoy Street, Granville, IL 61326 | 2006-02-07 |
| 1437586096 | Angella Marie Greenwood | Nurse Practitioner | 309 S Mccoy St, Granville, IL 61326-9333 | 2013-09-27 |
| 1518970847 | Damian W Grivetti | Family Medicine | 309 S. Mccoy, Granville, IL 61326-9333 | 2006-08-15 |
| 1508841834 | Profesional Pharmacy Managers LLC | Pharmacy | 314 S Mccoy St, Granville, IL 61326-9333 | 2005-12-09 |
| 1497318299 | St. Margaret's Hospital | Clinic/Center | 309 S Mccoy St, Granville, IL 61326-9333 | 2019-04-17 |
| 1477834802 | Toni Marie Lawley | Pharmacist | 314 S Mccoy St, Granville, IL 61326-9333 | 2011-08-30 |
| 1396027850 | Maria Ann Mignone | Speech-Language Pathologist | 404 E Main St, Upstairs Apt., Granville, IL 61326-9507 | 2011-09-12 |
| Find all providers in zip 61326 | ||||
| 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 |
|---|---|---|---|---|
| 1447386537 | Christopher D Avery | Dentist | 127 South Prospect St, Granville, OH 43023 | 2007-02-26 |
| 1346314150 | Elton Devin Savage | Dentist | 21 Edgewood Dr, Granville, OH 43023-1076 | 2006-11-20 |
| 1164596623 | Samuel Robert Kiner | Dentist | 121 Broadway E, Granville, OH 43023-1303 | 2006-11-17 |
| 1265440242 | Wood Creek Dental Pa | Dentist | 2101 Pelham Road, Granville, SC 29615 | 2006-08-04 |
| 1215920632 | Family Dentistry PC | Dentist | 89 North St, Granville, NY 12832-1138 | 2005-08-31 |
| 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 | ||||
Please comment or provide details below to improve the information on GRANVILLE DENTAL, LLC.
| 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.