Jeffrey Anthony Seredynski, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019030278 Issued in IL

Practice address

121 S Wilke Rd Ste 120
Arlington Heights, IL 60005-1524

Phone

(847) 392-2141

NPI assigned

Jul 14, 2015

Last updated

Nov 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeffrey Seredynski, DMD, PC

  • Dental Clinic/Center
  • Arlington Heights, IL
  • NPI 1023771870
  NPD Authorized official
• Jeffrey Seredynski, DMD, PC

  • Dental Clinic/Center
  • Arlington Heights, IL
  • NPI 1033876594
  NPD Authorized official
• Priyatirumalasetty, DDS PC

  dba Priya Setty, DDS PC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1114241650
  NPD (past)

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1033593546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S WILKE RD STE 120",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051524",
            "telephone_number": "847-392-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S WILKE RD STE 120",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051524",
            "telephone_number": "847-392-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEREDYNSKI",
        "first_name": "JEFFREY",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Suzanne Semerau
• Joseph M Semkiu, D.O.
• Taisa Irene Seneczko, D.D.S.
• Hannah Seo, RPH
• Caitlin Sepulveda
• Serenity Dental Studio PC
• Melba G Seribo, M.D.
• Neblina Serna
• Brittany Serrano, MA, LCPC
• Kara Rose Serritelli

• General Practice Dentistry in Arlington Heights, IL
• Providers in Arlington Heights, 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 Nov 10, 2021; 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.