Pure Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PURE DENTISTRY

Practice address

12040 S Harlem Ave
Palos Heights, IL 60463-1141

Phone

(708) 448-5675

Fax

(708) 448-5514

NPI assigned

Jun 26, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Patricia GennaroNPI 1154472520

Title

Dentist/Owner

Phone

(708) 448-5675

Specialties & licenses 1

Addresses

Practitioners 2

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

• Patricia J Gennaro, D.D.S.

  • General Practice Dentistry
  • Palos Heights, IL
  • NPI 1154472520
  NPD Authorized official
• Roksana Victoria Stekala, DMD

  • General Practice Dentistry
  • Palos Heights, IL
  • NPI 1609568393
  NPD

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1053209197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12040 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631141",
            "telephone_number": "708-448-5675",
            "fax_number": "708-448-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12040 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631141",
            "telephone_number": "708-448-5675",
            "fax_number": "708-448-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "GENNARO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "708-448-5675",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kozetta Linette Pugh, OTA
• Pulmonary & Critical Care Consultants LLC
• Purple Spring Home Care, LLC
• Nancy L Putnam, M.D.
• Ijaz Qayyum, MD
• Imad Qayyum, M.D.
• Kelly Quinn

• Dental Clinic/Center in Palos Heights, IL
• Providers in Palos Heights, 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 26, 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.