Lincoln Park Center for Dental Anesthesia

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LINCOLN PARK CENTER FOR DENTAL ANESTHESIA

Practice address

2551 N Clark St Ste 502
Chicago, IL 60614-1798

Phone

(708) 403-3355

Fax

(708) 403-3374

NPI assigned

Jun 3, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Robert Tentler, DDSNPI 1134293111

Title

Dentist/Owner

Phone

(708) 975-1504

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 3

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

• Robert L Tentler, DDS

  • General Practice Dentistry
  • Orland Park, IL
  • NPI 1134293111
  NPD Authorized official
• Ralph William Ginn, DDS

  • Dentist
  • Orland Park, IL
  • NPI 1194821546
  NPD
• Matthew Pearce, D.M.D.

  • Dentist
  • Orland Park, IL
  • NPI 1962853283
  NPD

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1043959323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 107TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678898",
            "telephone_number": "708-403-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 N CLARK ST STE 502",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141798",
            "telephone_number": "708-403-3355",
            "fax_number": "708-403-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PARK CENTER FOR DENTAL ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "TENTLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "708-975-1504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@drtentler.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "address_1": "2551 N Clark St Ste 502",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606141798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lincoln Dental Group
• Lincoln Health & Wellness Center, LTD.
• Lincoln Healthcare Inc
• Lincoln Medical Center, PC
• Lincoln Park Cardiovascular and Thoracic Surgeons, SC
• Lincoln Park Chiropractic, LLC
• Lincoln Park Chiropractic, PC
• Lincoln Park Dental Care LTD
• Lincoln Park Dental Specialists
• Lincoln Park Dialysis Services Inc (Kennedy Home Dialysis)

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.