PRIME DENTAL SPECIALISTS (NPI# 1841848355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841848355 |
| Entity Type | Organization |
| Organization Name | PRIME DENTAL SPECIALISTS |
| Practice Address |
2638 Patriot Blvd Glenview IL 60026-8024 |
| Practice Telephone | 8477480061 |
| Practice Fax Number | 8477480062 |
| Mailing Telephone | 8477480061 |
| Mailing Fax Number | 8577580062 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | DR. SAMANTHA CHOU (PRESIDENT) |
| Authorized Official Telephone | 3126086881 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers |
| Street Address |
2638 PATRIOT BLVD |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60026-8024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1528670692 | Help and Healing Center LLC | Psychologist | 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 | 2020-08-20 |
| 1487288577 | Susan D Taylor | Physical Therapy Assistant | Select Rehabilitation, Lls, 2600 Compass Road, Glenview, IL 60026 | 2020-02-27 |
| 1952868135 | Beltone Holdings IIi, Inc. | Hearing Instrument Specialist | 2601 Patriot Boulevard, Attn: Lisa Ginensky, Glenview, IL 60026 | 2019-02-25 |
| 1588145007 | Trislyn Deett Palmer | Occupational Therapist | Select Rehab, 2600 Compass Road, Glenview, IL 60026 | 2018-08-23 |
| 1528579901 | Julia Elizabeth Sames | Physician Assistant | 2701 Patriot Blvd Ste 110, Glenview, IL 60026 | 2017-10-12 |
| 1316474711 | Tru Impact Healthcare Sc | Internal Medicine | 2150 Pfingsten Rd Ste 2200, Glenview, IL 60026 | 2017-05-16 |
| 1700251519 | Okoon Psychology Group PC | Clinical Neuropsychologist | 3633 W. Lake Avenue, Suite 406, Evanston, IL 60026 | 2015-12-04 |
| 1497136642 | Nayantara S. Orekondy | Internal Medicine | 2100 Pfingsten Rd # 3001a, Glenview, IL 60026 | 2015-06-13 |
| 1154745792 | Eleanor Finney Vita | Occupational Therapist | 3703 W. Lake Ave, Suite 200, Glenview, IL 60026 | 2014-02-18 |
| Find all providers in zip 60026 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039947 | Yale Cho | Dentist | 17w110 22nd St Ste 150, Oakbrook Terrace, IL 60181-4454 | 2020-09-25 |
| 1720622152 | Sandra Altarawneh | Dentist | Uic College of Dentistry, 801 S. Paulina Street, Chicago, IL 60612 | 2019-10-29 |
| 1578047882 | Mohammed Salih | Dentist | 4408 W Lawrence Ave Ste 2, Chicago, IL 60630-2511 | 2018-09-21 |
| 1396256350 | Christopher William Coffey | Dentist | 14600 S La Grange Rd Ste 5, Orland Park, IL 60462-2580 | 2017-10-18 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1578985495 | Fransiskus Andrianto Tjiptowidjojo | Dentist | 1901 N Roselle Rd Ste 110, Schaumburg, IL 60195-3179 | 2014-01-11 |
| 1386079689 | Bryan Jacobs | Dentist | 4905 Old Orchard Ctr Ste 728, Skokie, IL 60077-4734 | 2013-09-05 |
| 1790932325 | Samson Sol Flores | Dentist | 1415 Oakton St, Evanston, IL 60202-2720 | 2008-08-26 |
| 1396991196 | Lake Forest Dental Associates, PC | Dentist | 133 E Laurel Ave, Lake Forest, IL 60045-1205 | 2008-08-12 |
| 1962663245 | Harvey Breckner | Dentist | 600 Country Club Vw, Suite 4, Edwardsville, IL 62025-3696 | 2008-06-19 |
| Find all providers with the same taxonomy | ||||
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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.