TIFFANY KOERNER JOZWIAK (NPI# 1902068026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902068026 |
| Entity Type | Individual |
| Full Name | TIFFANY KOERNER JOZWIAK |
| Credential | DDS |
| Practice Address |
115 W Peace Rd Sycamore IL 60178-8904 |
| Practice Telephone | 8158956100 |
| Practice Fax Number | 8158956107 |
| Mailing Telephone | 8158956100 |
| Mailing Fax Number | 8158956107 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019-024541 | IL | Dental Providers |
| Street Address |
115 W PEACE RD |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-8904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063570752 | Prairie View Dental LLC | Dentist | 115 W Peace Rd, Sycamore, IL 60178 | 2006-12-05 |
| 1457614166 | Jennifer Williams | Dentist | 115 W Peace Rd, Sycamore, IL 60178-8904 | 2012-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| 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 |
|---|---|---|---|---|
| 1639661432 | Brian Garcia | Dentist | 1840 Dekalb Ave Ste C, Sycamore, IL 60178-3190 | 2018-06-06 |
| 1063570752 | Prairie View Dental LLC | Dentist | 115 W Peace Rd, Sycamore, IL 60178 | 2006-12-05 |
| 1881762581 | Jeff Yasin Lu | Dentist | 115 West Peace Road, Prairie View Dental, Sycamore, IL 60178 | 2006-12-01 |
| 1891881330 | Todd Alan Curtis | Dentist | 124 North California Street, Sycamore, IL 60178 | 2006-10-04 |
| 1710092911 | Curtis E Lang | Dentist | 134 W State Street, Sycamore, IL 60178-1472 | 2006-08-20 |
| 1124689385 | Andrew Garcia | Dentist | 1840 Dekalb Ave Ste C, Sycamore, IL 60178-3190 | 2019-06-27 |
| 1932692274 | Thomas Hensley | Dentist | 2025 Aberdeen Ct, Sycamore, IL 60178-3140 | 2018-06-12 |
| 1689080954 | Darrin S King | Dentist | 2025 Aberdeen Ct, Sycamore, IL 60178-3140 | 2014-07-08 |
| 1194988139 | John Ward Crown | Dentist | 134 W State St, Sycamore, IL 60178-1472 | 2008-07-09 |
| 1538333034 | Stephen L Woodrick | Dentist | 2025 Aberdeen Ct, Sycamore, IL 60178-3140 | 2008-04-15 |
| Find all providers in SYCAMORE | ||||
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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.