Dupage Dental Professionals LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DUPAGE DENTAL PROFESSIONALS LLC

Practice address

1N111 County Farm Rd
Winfield, IL 60190-2018

Phone

(630) 588-1700

NPI assigned

Oct 28, 2021

Organization subpart

No

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

Authorized official

Name

Mitchell Weiland

Title

Assistant Controlelr

Phone

(608) 343-0818

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1033873732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 EXCELSIOR DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171900",
            "telephone_number": "608-343-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1N111 COUNTY FARM RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902018",
            "telephone_number": "630-588-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE DENTAL PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "WEILAND",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "ASSISTANT CONTROLELR",
        "authorized_official_telephone_number": "608-343-0818"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dream Smile Dental Inc
• Anne M Drolet, ANP
• Du Page Medical Group LTD
• Paula Virginia Duebner, APRN, CRNA
• Howard C Duncan, MD
• Dupage Medical Group, LTD.
• Scott R Dykes, D.D.S.
• E.Meister,DC,PC
• Effective Living, LLC
• Thomas A. Eiseman, M.D.

• Dentist in Winfield, IL
• Providers in Winfield, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.