MY GERIATRIC DENTIST
NPI 1366064594
Dentist - General Practice in Des Plaines, IL

Q: What is My Geriatric Dentist's NPI number?

The NPI number for My Geriatric Dentist is 1366064594. It was assigned to this organization in the NPPES registry on May 11, 2020.

Q: What is My Geriatric Dentist's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since May 11, 2020

2093 RAND RD, DES PLAINES, IL 60016(847) 590-1880(708) 590-0868 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About My Geriatric Dentist NPPES

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

MY GERIATRIC DENTIST (NPI 1366064594) is a healthcare organization registered as a general practice in Des Plaines, Illinois and active in the NPI registry since May 2020. The organization lists Lisa Blumofe, Dentist, as its authorized official.

NPPES Registry Identity

NPI1366064594

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMY GERIATRIC DENTIST

Location Address2093 RAND RDDes Plaines, IL 60016-4727

Mailing Address2093 Rand RdDes Plaines, IL 60016-4727 · (847) 590-1880 · Fax (708) 590-0868

Phone(847) 590-1880

Fax(708) 590-0868

Organization SubpartNo

Authorized OfficialLisa BlumofeDentist · (847) 590-1880

Enumeration DateMay 11, 2020

NPPES CertifiedMay 11, 2020

✔ NPI 1366064594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

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.

2093 RAND 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 2

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

DR. LISA BLUMOFE

Dentist

2093 RAND RD
DES PLAINES, IL 60016

Cook County (847) 590-1880

K2 COUNSELING CENTER INC

Counselor (Mental Health)

2093 RAND RD
DES PLAINES, IL 60016

Cook County (224) 537-8253

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 My Geriatric Dentist's NPI number?

The NPI number for My Geriatric Dentist is 1366064594. It was assigned to this organization in the NPPES registry on May 11, 2020.

Where is My Geriatric Dentist located?

My Geriatric Dentist is located at 2093 Rand Rd, Des Plaines, IL 60016. The listed phone number is (847) 590-1880.

What is My Geriatric Dentist's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for My Geriatric Dentist was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.