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CRESTWOOD DENTAL AND TMJ CARE PC
NPI 1730556101
Dentist in Crestwood, IL

Active since September 01, 2015
13549 CICERO AVE, CRESTWOOD, IL 60445(708) 388-3200 Get Directions Write a Review

NPPES record last updated: August 8, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Crestwood Dental And Tmj Care Pc NPPES

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

CRESTWOOD DENTAL AND TMJ CARE PC (NPI 1730556101) is a healthcare organization registered as a dentist in Crestwood, Illinois and active in the NPI registry since September 2015. The organization lists Kevin Bargamian, President, as its authorized official.

NPPES Registry Identity

NPI1730556101
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCRESTWOOD DENTAL AND TMJ CARE PC
Location Address13549 CICERO AVECrestwood, IL 60445-1934
Mailing Address13549 Cicero AveCrestwood, IL 60445-1934
Phone(708) 388-3200
Organization SubpartNo
Authorized OfficialKevin BargamianPresident · (708) 388-3200
Enumeration DateSeptember 1, 2015
Last NPPES UpdateAugust 8, 2016
✔ NPI 1730556101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019024802
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.
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X
13549 CICERO AVE, Crestwood, IL 60445
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Other Identifiers 1

Medicare NSC7461350001IL

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 Crestwood Dental And Tmj Care PC's NPI number?

The NPI number for Crestwood Dental And Tmj Care PC is 1730556101. It was assigned to this organization in the NPPES registry on September 1, 2015.

Where is Crestwood Dental And Tmj Care PC located?

Crestwood Dental And Tmj Care PC is located at 13549 Cicero Ave, Crestwood, IL 60445. The listed phone number is (708) 388-3200.

What is Crestwood Dental And Tmj Care PC'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 Crestwood Dental And Tmj Care PC was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.