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FOSTER AVENUE DENTAL CLINIC P.C.
NPI 1205133527
Dentist in Des Plaines, IL

Active since February 23, 2011
1400 E GOLF RD, SUITE 125, DES PLAINES, IL 60016(847) 827-7990(847) 827-7852 Get Directions Write a Review

NPPES record last updated: February 23, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Foster Avenue Dental Clinic P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOSTER AVENUE DENTAL CLINIC P.C. (NPI 1205133527) is a healthcare organization registered as a dentist in Des Plaines, Illinois and active in the NPI registry since February 2011. The organization lists Gregory H Tietzer, Owner, as its authorized official.

NPPES Registry Identity

NPI1205133527
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameFOSTER AVENUE DENTAL CLINIC P.C.
Location Address1400 E GOLF RD, SUITE 125Des Plaines, IL 60016-1236
Mailing Address3318 W Foster AveChicago, IL 60625-4813 · (773) 463-8860 · Fax (773) 463-9146
Phone(847) 827-7990
Fax(847) 827-7852
Organization SubpartNo
Authorized OfficialGregory H TietzerOwner · (773) 463-8860
Enumeration DateFebruary 23, 2011
✔ NPI 1205133527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019019206
Definition
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.
1400 E GOLF RD, Des Plaines, IL 60016
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARCADIO HILARIO VALENZUELA POMER M.D.
Family Medicine
1400 E GOLF RD, SUITE 118
DES PLAINES, IL 60016
Cook County (847) 635-2001
DR. BHARATI P SHAH IV M.D,
Internal Medicine
1400 E GOLF RD, SUITE # 117
DES PLAINES, IL 60016
Cook County (847) 391-6360
DR. GARY K. ARTINIAN, MD,SC
Internal Medicine
1400 E GOLF RD, #205
DES PLAINES, IL 60016
Cook County (847) 297-7880
DR. MICHAEL JOSEPH PAXHIA M.D.
Ophthalmology
1400 E GOLF RD, SUITE 212
DES PLAINES, IL 60016
Cook County (847) 296-4020
HEAD & NECK ASSOCIATES, SC
Specialist
1400 E GOLF RD, SUITE 121
DES PLAINES, IL 60016
Cook County (847) 827-2300
KHATAU-MANEK LTD
Pharmacy (Community/Retail Pharmacy)
1400 E GOLF RD, SUITE 101
DES PLAINES, IL 60016
Cook County (847) 296-1400
SHANI PATEL DO
Internal Medicine (Pulmonary Disease)
1400 E GOLF RD
DES PLAINES, IL 60016
Cook County (847) 376-8969
DR. HARBANS K DEOL MD
Obstetrics & Gynecology
1400 E GOLF RD, SUITE 114
DES PLAINES, IL 60016
Cook County (847) 390-9870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Foster Avenue Dental Clinic P.C.'s NPI number?

The NPI number for Foster Avenue Dental Clinic P.C. is 1205133527. It was assigned to this organization in the NPPES registry on February 23, 2011.

Where is Foster Avenue Dental Clinic P.C. located?

Foster Avenue Dental Clinic P.C. is located at 1400 E Golf Rd Suite 125, Des Plaines, IL 60016. The listed phone number is (847) 827-7990.

What is Foster Avenue Dental Clinic P.C.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Foster Avenue Dental Clinic P.C. was last updated on February 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.