CHARLES R SODERQUIST (NPI# 1942390364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942390364 |
| Entity Type | Individual |
| Full Name | CHARLES R SODERQUIST |
| Credential | DDS |
| Practice Address |
8383 W Belmont Avenue Suite 200 River Grove IL 60171-1083 |
| Practice Telephone | 7084531110 |
| Practice Fax Number | 7084520157 |
| Mailing Telephone | 7084531110 |
| Mailing Fax Number | 7084520157 |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IL | Dental Providers |
| Street Address |
8383 W BELMONT AVENUE SUITE 200 |
| City | RIVER GROVE |
| State | IL |
| Zip Code | 60171-1083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023496395 | Danuta B Superson | Massage Therapist | 8364 W Grand Ave, River Grove, IL 60171 | 2015-05-07 |
| 1063890283 | Davina Harris | Massage Therapist | 8364 W. Grand Avenue, River Grove, IL 60171 | 2015-05-07 |
| 1811150410 | Thtacher Woods Associates Ltd | Clinic/Center | 8383 W Belmont Ave, Suite 200, River Grove, IL 60171 | 2008-07-03 |
| 1235327941 | S. David Demorest | Clinic/Center | 8383 Belmont Avenue, River Grove, IL 60171 | 2007-10-09 |
| 1568527661 | River Grove Clinic | Family Medicine | 8383 N Belmont, River Grove, IL 60171 | 2006-12-27 |
| 1972533081 | Village of River Grove | Ambulance | 2601 Thatcher, River Grove, IL 60171 | 2006-07-04 |
| 1831687680 | Matthew L Garstki | Physical Therapist | 8937 Grand Ave, River Grove, IL 60171 | 2018-04-27 |
| 1720509458 | Grant Thomas Miller | Optometrist | 8362 Grand Ave, River Grove, IL 60171 | 2017-07-03 |
| 1386022549 | Izabela S Fratczak | Massage Therapist | 8364 Grand Ave, River Grove, IL 60171 | 2015-05-08 |
| 1568431377 | Michael Dean Dralle | Specialist/Technologist | 8937 Grand Ave, Athletico Sports Medicine and Pt Centers, River Grove, IL 60171 | 2006-03-15 |
| Find all providers in zip 60171 | ||||
| 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 |
|---|---|---|---|---|
| 1073557732 | Michael Leonard Siwek | Dentist | 8368 Grand Ave, River Grove, IL 60171-1435 | 2006-06-15 |
| 1275734113 | Edward Francis Walsh | Dentist | 8225 Grand Ave, River Grove, IL 60171-1517 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629076 | Align Dental Group PC. | Dentist | 2605 Grand Ave Ste A, Waukegan, IL 60085-2410 | 2020-11-06 |
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1982201505 | Ashley Rodriguez | Dentist | 2208 N Mannheim Rd, Melrose Park, IL 60164-1837 | 2020-10-06 |
| 1831796853 | Shaista Hasan | Dentist | 1840 Harvest Ln, Glendale Heights, IL 60139-1939 | 2020-10-02 |
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1477160190 | Smilesbysangha LLC | Dentist | 118 Barrington Commons Ct Ste 201, Barrington, IL 60010-3259 | 2020-09-27 |
| 1477160331 | Samer Mosoof | Dentist | 9 Monroe Ct, Streamwood, IL 60107-1365 | 2020-09-24 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1275145534 | Moondrift Sleep Solutions, LLC | Dentist | 837 N Wilke Rd, Arlington Heights, IL 60005-1047 | 2020-08-18 |
| 1023629664 | Mockunas Dental PC | Dentist | 13530 S Route 59 Unit 120, Plainfield, IL 60544-5659 | 2020-08-16 |
| Find all providers with the same taxonomy | ||||
| City | RIVER GROVE |
| Zip Code | 60171 |
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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.