Edward J. Kirsch, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019020344 Issued in IL

Legal business name

EDWARD J. KIRSCH, D.D.S., P.C.

Practice address

590 Bankview Dr
Suite a
Frankfort, IL 60423-1382

Phone

(815) 469-3373

Fax

(815) 469-0313

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edward J. Kirsch, D.D.S.

Title

President

Phone

(815) 469-3373

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1013080357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 BANKVIEW DR",
            "address_2": "SUITE A",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231382",
            "telephone_number": "815-469-3373",
            "fax_number": "815-469-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 BANKVIEW DR",
            "address_2": "SUITE A",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231382",
            "telephone_number": "815-469-3373",
            "fax_number": "815-469-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. KIRSCH, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "KIRSCH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-469-3373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019020344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Frankfort, IL
• Providers in Frankfort, 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 Jul 7, 2008; 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.