Dartmoor Dental Clinic LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19021132 Issued in IL

Legal business name

DARTMOOR DENTAL CLINIC LLC

Practice address

1500 Carlemont Dr
Suite C
Crystal Lake, IL 60014-1833

Phone

(815) 477-2273

NPI assigned

May 5, 2014

Organization subpart

Yes

Parent organization

ACIERNO DENTAL, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Alan J Acierno, DDS

Title

Dentist

Phone

(630) 339-3172

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1023428794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601935540",
            "telephone_number": "630-339-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CARLEMONT DR",
            "address_2": "SUITE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141833",
            "telephone_number": "815-477-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARTMOOR DENTAL CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACIERNO DENTAL, LLC",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "ACIERNO",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-339-3172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19021132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Dahlke, D.C.
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• Destinee Dankemeyer
• Katelyn Evelyn Dankowski, LCPC, ATR, CDVP
• Meghan Darragh
• Kyla Darvin
• Rachelle David
• April Leigh Davidson, BA, DT
• Elijah Davidson
• Seir Fen Davidson, PHARMD

• General Practice Dentistry in Crystal Lake, IL
• Providers in Crystal Lake, 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 May 15, 2014; 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.