NPIMap

Organization Active NPI

Lawrence R Fine DDS PLLC

Doing business as Prairie Garden Dental

  • General Practice Dentistry
  • Yorkville, IL
National Provider Identifier
1043012800
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAWRENCE R FINE DDS PLLC
Doing business as
Prairie Garden Dental
Practice address
200 Garden St Unit C
Yorkville, IL 60560-8920
Phone
(630) 553-6565
NPI assigned
Mar 25, 2025
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Molly Walsh
Title
Director of Operations
Phone
(630) 430-5824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

200 Garden St Unit C
Yorkville, IL 60560-8920

Mailing address

200 Garden St Unit C
Yorkville, IL 60560-8920
Phone (630) 553-6565

Other names 1

  • Prairie Garden Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1043012800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GARDEN ST UNIT C",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605608920",
            "telephone_number": "630-553-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GARDEN ST UNIT C",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605608920",
            "telephone_number": "630-553-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE R FINE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "630-430-5824"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Garden Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.