Dyer Dentistry Services

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DYER DENTISTRY SERVICES

Doing business as

Studio Smiles

Practice address

20505 N Rand Rd Ste 244
Kildeer, IL 60047-3004

Phone

(847) 796-0789

NPI assigned

Aug 24, 2023

Last updated

Aug 24, 2023By 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. Amanda Dyer, DDSNPI 1285075135

Title

Owner

Phone

(319) 215-5876

Specialties & licenses 1

Addresses

Other names 1

• Studio Smiles Doing business as

Locations

Practitioners 1

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.

• Amanda Nichole Dyer, DDS

  • General Practice Dentistry
  • Mundelein, IL
  • NPI 1285075135
  NPD Authorized official

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1003690496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SAVANNAH CIR",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601637",
            "telephone_number": "319-215-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20505 N RAND RD STE 244",
            "city": "KILDEER",
            "state": "IL",
            "postal_code": "600473004",
            "telephone_number": "847-796-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYER DENTISTRY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-215-5876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Studio Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gergana Buchkova, APN-CNP
• Citadel Home Care (Citadel Companies)
• Cody Colleen Todd (Red Tail Clinical Counseling)
• Corewellness Medical
• Pragna Mukesh Dholakia, APRN
• Thomas Lee Edmons, R.PH.
• Nicholas C. Frisch, M.D.
• Guy William Garozzo, D.C.
• Georgina Govostis, ATC
• Cristiane Megumi Hayato Unseth, PA-C

• Dental Clinic/Center in Kildeer, IL
• Providers in Kildeer, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.