Dac Dental PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DAC DENTAL PC

Doing business as

Rollins Family Dental Center

Practice address

305 E Rollins Rd
Round Lake Beach, IL 60073-1331

Phone

(847) 546-2900

Fax

(547) 546-2909

NPI assigned

Jul 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. David Andrew Canty, DMDNPI 1770894792

Title

President/Owner

Phone

(847) 546-2900

Specialties & licenses 1

Addresses

Other names 1

• Rollins Family Dental Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Andrew Canty, DMD

  • Dentist
  • Round Lake Beach, IL
  • NPI 1770894792
  Authorized official Same address or phone

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499990400000",
    "number": "1053833673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600731331",
            "telephone_number": "847-546-2900",
            "fax_number": "847-546-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600731331",
            "telephone_number": "847-546-2900",
            "fax_number": "547-546-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAC DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-07-14",
        "status": "A",
        "authorized_official_last_name": "CANTY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "847-546-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rollins Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina M Circo, RPH
• Consumate Dental P.C
• Patrick Dene Cornet
• County of Lake (Lake County Health Department and Community Health Center)
• Michelle Crutcher, RDH
• Daniel & Max, LLC
• Henry Oa Darko
• Renita Dercel Davis, MSW, MED
• Dental Professionals of Illinois, PC (Dental Care of Round Lake Beach)
• DM Family Dentistry Inc

• Dentist in Round Lake Beach, IL
• Providers in Round Lake Beach, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; 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.