ADVANCED FAMILY DENTAL OF SHOREWOOD, P.C. (NPI# 1932386810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932386810 |
| Entity Type | Organization |
| Organization Name | ADVANCED FAMILY DENTAL OF SHOREWOOD, P.C. |
| Practice Address |
150 N Brook Forest Drive Shorewood IL 60404 |
| Practice Telephone | 8157292300 |
| Practice Fax Number | 8157292322 |
| Mailing Telephone | 8157292300 |
| Mailing Fax Number | 8157292322 |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |
| Authorized Official Name | DR. DAVID J RUBIS (0WNER) |
| Authorized Official Telephone | 8157292300 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
150 N BROOK FOREST DRIVE |
| City | SHOREWOOD |
| State | IL |
| Zip Code | 60404 |
| 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 |
| 1326476755 | Christine Briski | Speech-Language Pathologist | 210 W Black Road, Shorewood, IL 60404 | 2013-10-22 |
| 1598000630 | Michael G Mcdowell | Nurse Practitioner | 1039 Brookforest Ave, Shorewood, IL 60404 | 2012-11-29 |
| 1699028910 | Patti-ann Ebert | Occupational Therapist | 850 Brook Forest Ave., Unit L, Shorewood, IL 60404 | 2012-10-24 |
| 1043567720 | Matthew Reiot Klebenow | Occupational Therapist | 852a Sharp Drive, Provena Physical Therapy & Industrial Rehab. Center, Shorewood, IL 60404 | 2012-08-13 |
| 1366728222 | Linda K Alonso | Pharmacist | 1160 W. Jefferson St., Shorewood, IL 60404 | 2011-10-24 |
| 1205110186 | Lanie R Moreno | Physical Therapist | 850 Brookforest Ave Unit L, Shorewood, IL 60404 | 2011-10-10 |
| 1003025941 | Kerri Lanum | Specialist/Technologist | 850 Brookforest Ave. F, Shorewood, IL 60404 | 2007-05-21 |
| 1124246756 | Alexander Grabavoy | Dentist | 1007 W. Jefferson Street, Shorewood, IL 60404 | 2007-04-20 |
| 1356468391 | Nomon Thanadabouth | Chiropractor | 102 West Jefferson Street Unit 1, Shorewood, IL 60404 | 2007-03-23 |
| Find all providers in zip 60404 | ||||
| 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 |
|---|---|---|---|---|
| 1558830794 | Sidharth Mohan | Dentist | 964 Brookforest Ave, Shorewood, IL 60404-8807 | 2018-11-16 |
| 1215416201 | Affordable Dentures & Implants - Shorewood, P.C. | Dentist | 578 Brookforest Ave, Shorewood, IL 60404-9706 | 2018-08-09 |
| 1861868671 | Natalie Salman | Dentist | 1007 W Jefferson St, Shorewood, IL 60404-9777 | 2015-08-15 |
| 1578899720 | James Kircher | Dentist | 2608 E Beverly Rd, Shorewood, WI 53211-2436 | 2009-10-22 |
| 1730312455 | Rahul Ved Prakash | Dentist | 964 Brook Forest Ave, Troy Dental, Shorewood, IL 60404-8807 | 2009-08-27 |
| 1124246756 | Alexander Grabavoy | Dentist | 1007 W. Jefferson Street, Shorewood, IL 60404 | 2007-04-20 |
| 1174615306 | Kelly B Bosworth | Dentist | 24000 Hwy 7, Suite 120 Kelly Bosworth Family Dentistry, Shorewood, MN 55331 | 2006-09-28 |
| 1841816444 | Hannah G Draver | Dentist | 3970 N Oakland Ave Ste 403, Shorewood, WI 53211-2265 | 2020-06-19 |
| 1477969251 | Britly Barton | Dentist | 607 W Jefferson St, Shorewood, IL 60404-3700 | 2014-07-01 |
| 1336589134 | Carolyn Griffin | Dentist | 1720 E Lake Bluff Blvd, Shorewood, WI 53211-1563 | 2013-06-26 |
| Find all providers in SHOREWOOD | ||||
Please comment or provide details below to improve the information on ADVANCED FAMILY DENTAL OF SHOREWOOD, P.C..
| 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.