Metro Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

METRO DENTAL ASSOCIATES

Practice address

640 E. Saint Charles Rd.
Suite 204
Carol Stream, IL 60188-2600

Phone

(630) 653-7890

Fax

(630) 653-2394

NPI assigned

Dec 11, 2006

Last updated

Aug 22, 2020By 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. David Alan Petroselli, D.D.S.NPI 1720241896

Title

Dentist

Phone

(630) 653-7890

Specialties & licenses 1

Addresses

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.

• David Alan Petroselli, DDS

  • Dentist
  • Carol Stream, IL
  • NPI 1720241896
  NPD (past) Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013077718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E. SAINT CHARLES RD.",
            "address_2": "SUITE 204",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882600",
            "telephone_number": "630-653-7890",
            "fax_number": "630-653-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E. SAINT CHARLES RD.",
            "address_2": "SUITE 204",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882600",
            "telephone_number": "630-653-7890",
            "fax_number": "630-653-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETROSELLI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-653-7890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical and Rehabilitation Center of Carol Stream LLC
• Meera Narsimhan DDS Inc (sunshine family dental)
• Bowen F Meissen, CADC
• Mahilat Gizatu Mekonnen, PMHNP-BC
• O. Kent Mercado, D.P.M.
• Richard T Meyer Jr., M.D.
• Michael F. Dani DDS PC
• Midwest Coach Builders, Inc (Mobility Masters, Inc)
• Midwest Express Care 2 Inc
• Angelo Miele, MD

• General Practice Dentistry in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.