ASSOCIATES IN DENTISTRY (NPI# 1962584516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962584516 |
| Entity Type | Organization |
| Organization Name | ASSOCIATES IN DENTISTRY |
| Practice Address |
300 Peoria St Washington IL 61571-2425 |
| Mailing Address |
1518 W Garfield Ave Bartonville IL 61607-1755 |
| Practice Telephone | 3094448481 |
| Practice Fax Number | 3094449513 |
| Mailing Telephone | 3096975680 |
| Mailing Fax Number | 3096975682 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | CINDY HAMILTON (BUSINESS ADMINISTRATOR) |
| Authorized Official Telephone | 3096975680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194904862 | Associates In Dentistry | Dentist | 18000 Toledo Blade Blvd, Port Charlotte, FL 33948 | 2007-10-30 |
| 1316029044 | Associates In Dentistry | Dentist | 336 N Main Street, Canton, IL 61520-1826 | 2006-10-20 |
| 1538241278 | Associates In Dentistry | Dentist | 9016 N. Allen Road, Suite B, Peoria, IL 61615 | 2006-10-20 |
| 1841328499 | Associates In Dentistry | Dentist | 131 S College St, Washington, PA 15301-4923 | 2007-03-02 |
| 1346322070 | Associates In Dentistry | Dentist | 101 S Rose Street, Elmwood, IL 61529-0718 | 2006-10-20 |
| 1508948159 | Associates In Dentistry | Dentist | 1522 W Garfield Ave, Bartonville, IL 61607-1755 | 2006-10-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ASSOCIATES IN DENTISTRY LLC | 54 Medical Ln, Whitley City, KY 42653-4216 |
| Street Address |
300 PEORIA ST |
| City | WASHINGTON |
| State | IL |
| Zip Code | 61571-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904504 | Kelly Hornberger | Physical Therapist | 1201 Newcastle Rd., Washington, IL 61571 | 2018-09-01 |
| 1073050407 | Jillyn Cross | Occupational Therapist | 14 Oxford Court, Washington, IL 61571 | 2017-01-24 |
| 1639410772 | Stephen L Dejaynes | Counselor | 100 Hillcrest Drive, Washington, IL 61571 | 2013-03-14 |
| 1184998692 | One Counseling and Wellness | Counselor | 1003 North Cummings Lane, Washington, IL 61571 | 2012-03-01 |
| 1871878371 | M Lisa Kim | Pharmacist | 1700 Saddleridge Ct, Washington, IL 61571 | 2011-10-15 |
| 1073805156 | Skill Sprout International | Behavioral Analyst | 102 Walnut Street, Washington, IL 61571 | 2011-05-09 |
| 1659600948 | Skill Sprout, LLC | Behavioral Analyst | 128 Washington Square, Washington, IL 61571 | 2009-12-15 |
| 1700024916 | Julie Adams | Developmental Therapist | 700 S. Elm, Washington, IL 61571 | 2009-01-26 |
| 1851595128 | Michael John Herman | Dentist | 106 So Cummings Lane, Washington, IL 61571 | 2007-06-12 |
| 1861539132 | Gary Lee Cunningham | Dentist | 5 Laurel Ct., Washington, IL 61571 | 2007-01-30 |
| Find all providers in zip 61571 | ||||
| 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 |
|---|---|---|---|---|
| 1386261097 | Kelechi Ononauju Okereke | Dentist | Howard University-college of Dentistry 600 W Street Nw, Washington, DC 20059-0001 | 2020-06-29 |
| 1013552223 | Adam D Schwartz Dds PC | Dentist | 4545 Connecticut Avenue Nw Suite 419, Washington, DC 20008 | 2019-11-12 |
| 1700446010 | Kurtis Schuyler | Dentist | 416 Elm St # 4, Washington, MO 63090-2310 | 2019-06-18 |
| 1033779459 | 4900 Dental | Dentist | 4900 Massachusetts Ave Nw Ste 200, Washington, DC 20016-4358 | 2019-06-18 |
| 1356909147 | James Richard Young | Dentist | 64580 Van Dyke Rd Ste B, Washington, MI 48095-2811 | 2019-06-05 |
| 1871053165 | Alyse Marie Knuth | Dentist | Pentagon, Corridor 8, Washington, DC 20002 | 2019-03-22 |
| 1841750189 | Roman Moss | Dentist | 3000 Connecticut Ave Nw Ste 8, Washington, DC 20008-2542 | 2019-03-22 |
| 1538626734 | Stylishsmile.pllc | Dentist | 2737 Devonshire Pl Nw Ste A&b, Washington, DC 20008-3479 | 2019-02-23 |
| 1760960165 | District Dental Solutions | Dentist | 1140 19th St Nw Ste 220, Washington, DC 20036-6616 | 2018-07-30 |
| 1952817652 | Sai N Kham Dmd Pllc | Dentist | 2021 K St Nw Ste 412, Washington, DC 20006-1003 | 2017-12-18 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 61571 |
Please comment or provide details below to improve the information on ASSOCIATES IN DENTISTRY.
| 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.