Gates Dental Care PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

019014756 Issued in IL

Legal business name

GATES DENTAL CARE PC

Practice address

302 E Saint Charles Rd
Villa Park, IL 60181-2420

Phone

(630) 836-4410

Fax

(630) 563-9174

NPI assigned

Jun 1, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gamal S. Naguib, DMDNPI 1124027990

Title

President

Phone

(847) 967-1149

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Oralus Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gamal S Naguib, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Villa Park, IL
  • NPI 1124027990
  Authorized official Same address or phone
• John Scott Aiello, DDS

  • Dentist
  • Westchester, IL
  • NPI 1124269220
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962449850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142828",
            "telephone_number": "847-967-1149",
            "fax_number": "847-967-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E SAINT CHARLES RD",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812420",
            "telephone_number": "630-836-4410",
            "fax_number": "630-563-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATES DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NAGUIB",
        "authorized_official_first_name": "GAMAL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-967-1149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "IL",
            "license": "019014756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF ILLINOIS",
            "identifier": "33060",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019014756",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oralus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oralus",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Diane Fritts-Ryan, OTR/L
• Vicki L Gaddis
• Olga Maria Garcia, PHARMD
• Judith M Gardner, MA,CCC-SLP/L,C/NDT
• Katrina L Garvens
• Anna Gebhardt, MS, CCC-SLP
• Jenna Georgacakis-Nurre, DPT
• Katrin Giba, LPC
• Ellen Gilbert
• Globird Counseling Center, PLLC

• Oral & Maxillofacial Surgery (D.M.D.) in Villa Park, IL
• Providers in Villa Park, IL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.