STANLEY SYDLOWSKI (NPI# 1912375858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912375858 |
| Entity Type | Individual |
| Full Name | STANLEY SYDLOWSKI |
| Credential | DDS |
| Practice Address |
135 Radio City Dr Pekin IL 61554-1573 |
| Practice Telephone | 3093822229 |
| Mailing Telephone | 3093822229 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2016-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223D0001X |
Dentist Specialization: Dental Public Health |
019012406 | IL | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019012406 | IL | Dental Providers |
| Street Address |
135 RADIO CITY DR |
| City | PEKIN |
| State | IL |
| Zip Code | 61554-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194279000 | Shauna L Bivens | Nurse Practitioner | 3400 Griffin Ave., Pekin, IL 61554 | 2016-08-09 |
| 1720349780 | Neal Family Chiropractic PC | Chiropractor | 2978 Court St., Pekin, IL 61554 | 2012-06-06 |
| 1366750671 | Dennis Kammerer Stoller | Dentist | 1608 Broadway, Pekin, IL 61554 | 2010-09-21 |
| 1013186683 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1421 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1568631133 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1425 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1689856312 | Pekin Supportive Living Limited Patnership | Assisted Living Facility | 1320 Executive Court, Pekin, IL 61554 | 2007-12-05 |
| 1205034824 | Winfield Curtis Morgan | Dentist | 1503 Valle Vista, Pekin, IL 61554 | 2007-07-05 |
| 1376769638 | Debra Mollie Davis | Registered Nurse | 2079 Edgewater Dr, Pekin, IL 61554 | 2007-04-17 |
| 1649308230 | Tazewell County Health Department -dental Health Center | Public Health or Welfare | 135 Radio City Drive, Suite A & B, North Pekin, IL 61554 | 2007-03-02 |
| 1528118239 | Jerry Lee Marshall | Dentist | 135a-b Radio City Drive, North Pekin, IL 61554 | 2007-01-12 |
| Find all providers in zip 61554 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366750671 | Dennis Kammerer Stoller | Dentist | 1608 Broadway, Pekin, IL 61554 | 2010-09-21 |
| 1730399403 | Dennis K Stoller Dds Ltd | Dentist | 1608 Broadway Rd, Pekin, IL 61554-3806 | 2007-05-23 |
| 1578773743 | David S. Kuban | Dentist | 1424 Valle Vista Blvd, Pekin, IL 61554-6224 | 2007-05-23 |
| 1336299643 | Timmothy Jay Schwartz | Dentist | 1245 Florence Ave, Pekin, IL 61554-2325 | 2007-01-11 |
| 1881782738 | Mark Evan Glesne | Dentist | 3307 Griffin Ave, Pekin, IL 61554-3307 | 2006-10-10 |
| 1265445910 | Gary Alan Guengerich | Dentist | 3 Olt Ave, Pekin, IL 61554-6216 | 2006-08-14 |
| 1710993688 | Mark David Zaayenga | Dentist | 1413 Valle Vista Blvd, Pekin, IL 61554-6223 | 2006-07-31 |
| 1184649485 | Alan Jeffrey Burge | Dentist | 3218 Court St, Pekin, IL 61554-6209 | 2006-07-13 |
| 1568493591 | Michael D. Danner, D.d.s., LLC | Dentist | 1426 Valle Vista Blvd, Pekin, IL 61554-6224 | 2006-07-06 |
| 1376160085 | Smalltown Dental Pekin LLC | Dentist | 3 Olt Ave, Pekin, IL 61554-6214 | 2020-06-29 |
| Find all providers in PEKIN | ||||
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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.