NORTH SHORE DENTAL ASSOCIATES
NPI 1407108251
Dentist - General Practice in Evanston, IL

Active since October 03, 2012
636 CHURCH ST, #322, EVANSTON, IL 60201(847) 475-4544(847) 475-4523 Get Directions Write a Review

NPPES record last updated: October 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Shore Dental Associates NPPES

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

NORTH SHORE DENTAL ASSOCIATES (NPI 1407108251) is a healthcare organization registered as a general practice in Evanston, Illinois and active in the NPI registry since October 2012. The organization lists Stamata Blanas, Owner, as its authorized official.

NPPES Registry Identity

NPI1407108251
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTH SHORE DENTAL ASSOCIATES
Location Address636 CHURCH ST, #322Evanston, IL 60201-4508
Mailing Address636 Church St, #322Evanston, IL 60201-4508 · (847) 475-4544 · Fax (847) 475-4523
Fax(847) 475-4523
Organization SubpartNo
Authorized OfficialStamata BlanasOwner · (847) 475-4544
Enumeration DateOctober 3, 2012
NPI 1407108251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019021639
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.
636 CHURCH ST, Evanston, IL 60201

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 20

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

Psychologist (Clinical)
636 CHURCH ST, SUITE #421
EVANSTON, IL 60201
Counselor (Professional)
636 CHURCH ST
EVANSTON, IL 60201
Dentist
636 CHURCH ST, #721
EVANSTON, IL 60201
Social Worker (Clinical)
636 CHURCH ST, #508
EVANSTON, IL 60201
Marriage & Family Therapist
636 CHURCH ST, SUITE 601
EVANSTON, IL 60201
Psychologist (Clinical)
636 CHURCH ST, SUITE 416
EVANSTON, IL 60201
Psychologist (Clinical)
636 CHURCH ST, SUITE 615-B
EVANSTON, IL 60201
Counselor (Mental Health)
636 CHURCH ST, SUITE 409
EVANSTON, IL 60201

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 North Shore Dental Associates's NPI number?

The NPI number for North Shore Dental Associates is 1407108251. It was assigned to this organization in the NPPES registry on October 3, 2012.

Where is North Shore Dental Associates located?

North Shore Dental Associates is located at 636 Church St #322, Evanston, IL 60201. The listed phone number is (847) 475-4544.

What is North Shore Dental Associates'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 North Shore Dental Associates was last updated on October 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.