DR. HENRY VICIOSO (NPI# 1932129723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932129723 |
| Entity Type | Individual |
| Full Name | DR. HENRY VICIOSO |
| Credential | D.D.S. |
| Practice Address |
607 W Jefferson St Shorewood IL 60431-9701 |
| Practice Telephone | 8157255991 |
| Practice Fax Number | 8157251983 |
| Mailing Telephone | 8157255991 |
| Mailing Fax Number | 8157251983 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| Street Address |
607 W JEFFERSON ST |
| City | SHOREWOOD |
| State | IL |
| Zip Code | 60431-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477969251 | Britly Barton | Dentist | 607 W Jefferson St, Shorewood, IL 60404-3700 | 2014-07-01 |
| 1033317847 | Shorewood Family Dental Care LLP | Dentist | 607 W Jefferson St, Shorewood, IL 60404-3701 | 2007-07-03 |
| 1639249063 | Chris Zumstein | Dentist | 607 W Jefferson St, Shorewood, IL 60431-9701 | 2006-11-09 |
| 1568485191 | Robert Sean Funk | Dentist | 607 W Jefferson St, Shorewood, IL 60431-9701 | 2006-07-25 |
| 1619990264 | Gina E Bruck | Dentist | 607 W Jefferson St, Shorewood, IL 60404-3700 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588173413 | Margaret Ann Silvas | Nurse's Aide | 3627 Woodside Ct, Joliet, IL 60431 | 2017-09-22 |
| 1174900757 | Melissa Suzanne Spoula | Optometrist | 3340 Mall Loop Dr Spc 1442, Joliet, IL 60431 | 2015-05-02 |
| 1154678373 | Melissa J Murphy | Physical Therapist | 852 A Sharp Drive, Provena Therapy and Industrial Rehabilitation Center, Shorewood, IL 60431 | 2012-08-07 |
| 1053540096 | Sarah M Patnoudes | Occupational Therapist | 1035 Heron Circle, Joliet, IL 60431 | 2009-07-13 |
| 1558598649 | Regi Nair | Pharmacy Technician | 1901 Appleman, Joliet, IL 60431 | 2009-06-16 |
| 1346483948 | John A. Propati, Inc. | Clinic/Center | 1401 Illinois Rt. 59, Shorewood, IL 60431 | 2009-04-13 |
| 1467622910 | Cornerstone Home Healthcare LLC | Home Health | 350 Houbolt Rd., Suite 209, Joliet, IL 60431 | 2008-03-11 |
| 1780898098 | Annie Bishop | Home Health Aide | 3806 Brenton Dr, Joliet, IL 60431 | 2007-05-09 |
| 1760601272 | James John Babiuk | Dentist | 3209 Fiday Rd, Joliet, IL 60431 | 2007-04-24 |
| 1689731481 | Smile Street Dental | Dentist | 3587 Hennepin Dr, Joliet, IL 60431 | 2007-01-02 |
| Find all providers in zip 60431 | ||||
| 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 |
|---|---|---|---|---|
| 1669035242 | Mobile Dental Care of Delaware, Pa | Dentist | 18622 S. Rte 59 Unit A-1, Shorewood, IL 60404 | 2019-04-18 |
| 1750670014 | Benjamin Singer Johnson | Dentist | 4027 N Bartlett Ave, Shorewood, WI 53211-1909 | 2011-04-06 |
| 1205145554 | Dental Sleep Center Richard A Craig Dds Ltd | Dentist | 220 Channahon St, Shorewood, IL 60404-9330 | 2010-10-05 |
| 1710216494 | Klara Fleysh | Dentist | 1714 E Capitol Dr, Shorewood, WI 53211-1910 | 2009-12-09 |
| 1194903591 | Brookforest Dental Group, P.C. | Dentist | 850 Brookforest Dr, Suite D, Shorewood, IL 60431-8513 | 2008-02-07 |
| 1528270972 | Katherine J. Kircher | Dentist | 1400 E Capitol Dr, Shorewood, WI 53211-1957 | 2007-05-05 |
| 1952440687 | Ami Arun Shah | Dentist | 968 Brook Forest Ave, Unit B1, Shorewood, IL 60431-8807 | 2007-02-06 |
| 1689738155 | Keith Alan Ziolkowski | Dentist | 3970 N Oakland Ave Ste 403, Shorewood, WI 53211-2265 | 2006-12-20 |
| 1700956125 | Faber Dental Arts | Dentist | 609 Rollingwood Dr, Shorewood, IL 60404-0665 | 2006-11-09 |
| 1629097662 | Edwin S Brookes | Dentist | 3970 N Oakland Ave Ste 602, Shorewood, WI 53211-2265 | 2006-07-19 |
| Find all providers in SHOREWOOD | ||||
Please comment or provide details below to improve the information on DR. HENRY VICIOSO.
| 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.