Organization Active NPI

Salih Dental Lawrence Inc.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1073094116
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SALIH DENTAL LAWRENCE INC.
Practice address
4408 W Lawrence Ave Unit 2
Chicago, IL 60630-2511
Phone
(773) 853-0593
Fax
(773) 913-0508
NPI assigned
Aug 27, 2018
Last updated
Aug 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Eva Bloda
Title
Dr.
Phone
(773) 853-0593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

4408 W Lawrence Ave Unit 2
Chicago, IL 60630-2511

Mailing address

4408 W Lawrence Ave Unit 2
Chicago, IL 60630-2511
Phone (773) 853-0593

National Provider Directory

National Provider Directory

Locations

4408 W Lawrence Ave
Unit 2
Chicago, IL 60630
Phone (773) 853-0593

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1073094116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 W LAWRENCE AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302511",
            "telephone_number": "773-853-0593",
            "fax_number": "773-913-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 W LAWRENCE AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302511",
            "telephone_number": "773-853-0593",
            "fax_number": "773-913-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIH DENTAL LAWRENCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "BLODA",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "773-853-0593"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.