Concord Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CONCORD DENTAL PC

Practice address

498 Hillside Ave Ste 1E
Glen Ellyn, IL 60137-4546

Phone

(630) 942-8110

Fax

(630) 942-8272

NPI assigned

Oct 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Javed Bhojani, DDS

Title

Owner

Phone

(630) 942-8110

Specialties & licenses 1

Addresses

Locations

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": "1053496521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 HILLSIDE AVE STE 1E",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374546",
            "telephone_number": "630-942-8110",
            "fax_number": "630-942-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 HILLSIDE AVE STE 1E",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374546",
            "telephone_number": "630-942-8110",
            "fax_number": "630-942-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BHOJANI",
        "authorized_official_first_name": "JAVED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-942-8110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• General Practice Dentistry 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.