Golf Glen Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GOLF GLEN DENTISTRY

Practice address

9301 Golf Rd
Ste 106
Des Plaines, IL 60016-1667

Phone

(847) 826-7467

Fax

(847) 824-8653

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Hourig Vartanian

Title

Office Manager

Phone

(847) 824-7467

Specialties & licenses 1

Addresses

Other names 1

• Marta Milejczyk DDS Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marta Milejczyk, DDS

  • Dentist
  • Des Plaines, IL
  • NPI 1629174677
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043395551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 GOLF RD",
            "address_2": "STE 106",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161667",
            "telephone_number": "847-826-7467",
            "fax_number": "847-824-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 GOLF RD",
            "address_2": "STE 106",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161667",
            "telephone_number": "847-826-7467",
            "fax_number": "847-824-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLF GLEN DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VARTANIAN",
        "authorized_official_first_name": "HOURIG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-824-7467"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marta Milejczyk DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Gabriela Gomez Jaime
• Cindy Gomez
• Stefanie Margarita Gomez

• Dentist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.