Organization Active NPI

Progressive Dental PC

  • Dental Clinic/Center
  • Lake in the Hills, IL
National Provider Identifier
1073845400
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PROGRESSIVE DENTAL PC
Practice address
1301 Pyott Rd
Suite 209
Lake in the Hills, IL 60156-9794
Phone
(847) 458-7700
NPI assigned
Feb 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Dr. Daniel J Smulson, DDS
Title
Owner
Phone
(815) 385-9620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1301 Pyott Rd
Suite 209
Lake in the Hills, IL 60156-9794

Mailing address

1301 Pyott Rd
Suite 209
Lake in the Hills, IL 60156-9794
Phone (847) 458-7700

National Provider Directory

National Provider Directory

Locations

1301 Pyott Rd
Ste 209
Lake in the Hills, IL 60156
Phone (847) 458-7700

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1073845400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PYOTT RD",
            "address_2": "SUITE 209",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569794",
            "telephone_number": "847-458-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PYOTT RD",
            "address_2": "SUITE 209",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569794",
            "telephone_number": "847-458-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "SMULSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-385-9620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.