Jill C. McMahon DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027438 Issued in IL

Legal business name

JILL C. MCMAHON DMD, PC

Doing business as

Mint Dental

Practice address

241 S Church Rd
Bensenville, IL 60106

Phone

(630) 842-5367

NPI assigned

Mar 2, 2011

Organization subpart

No

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

Authorized official

Name

Jill C McMahon, DMD

Title

President

Phone

(708) 358-8800

Specialties & licenses 1

Addresses

Other names 1

• Mint Dental Doing business as

Locations

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1053619916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7767 LAKE ST.",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "60305",
            "telephone_number": "708-358-8800",
            "fax_number": "708-358-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 S CHURCH RD",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "60106",
            "telephone_number": "630-842-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL C. MCMAHON DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-358-8800",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Bensenville, IL
• Providers in Bensenville, 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 Mar 2, 2011; 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.