Pediatric and Family Dentistry PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

019027333 Issued in IL

Legal business name

PEDIATRIC AND FAMILY DENTISTRY PC

Practice address

15 S Dryden PL
Arlington Heights, IL 60004-6369

Phone

(312) 310-4543

NPI assigned

Nov 14, 2011

Organization subpart

No

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

Authorized official

Name

Scott D Goldman, DDS

Title

Owner

Phone

(312) 310-4543

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1043597305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S DRYDEN PL",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600046369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S DRYDEN PL",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600046369",
            "telephone_number": "312-310-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-310-4543",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019027333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Alexander Pearce, MD
• Pearle Vision Inc (Pearle Vision #C6386)
• Natalia Pecak
• Jolanta A. Peckus, M.D.
• Rene Pecson, MD
• Pediatric Associates of Arlington Heights, PLLC
• Pediatric Associates of Arlington HTS SC
• Pediatric Health Care Associates, S.C.
• Pediatric Solutions SC
• Steve Pelitsky, O.D.

• Pediatric Dentistry in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.