Dr. Roman M Dziubyk, d.d.s.
Dentist, General Practice in Des Plaines, IL. Individual provider (NPI-1).
NPI number1528076015
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1528076015
- Entity type
- Individual (NPI-1)
- Name
- Dr. Roman M Dziubyk
- Credential
- d.d.s.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019022514 | IL | Yes |
Practice location
645 W Golf RdDes Plaines, IL 60016-2462
Phone 847-640-0778 · Fax 847-640-2599
Mailing address
645 W Golf RdDes Plaines, IL 60016-2462
Phone 847-640-0778 · Fax 847-640-2599
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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