Active NPI
B.D.a&H
- Dental Clinic/Center
- Westmont, IL
National Provider Identifier
1104074632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 019025269
- Legal business name
- B.D.A&H
- Practice address
- 210 N Cass Ave
#D
Westmont, IL 60559-1750 - Phone
- (630) 737-0791
- Fax
- (630) 737-0799
- NPI assigned
- Sep 9, 2008
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Bana Ahdab, D.D.S
- Title
- President
- Phone
- (630) 737-0791
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Westmont, IL
- NPI 1699061184
-
- General Practice Dentistry
- Westmont, IL
- NPI 1144387168
National Provider Directory
National Provider DirectoryLocations
210 N Cass Ave
Ste D
Westmont, IL 60559
Phone (312) 622-4406
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 019025269 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
210 N Cass Ave
#D
Westmont, IL 60559-1750
Mailing address
210 N Cass Ave
#D
Westmont, IL 60559-1750
Phone (630) 737-0791
Other names 1
NPPES NPI Registry- Cass family Dental
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2008.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220918400000",
"number": "1104074632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N CASS AVE",
"address_2": "#D",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591750",
"telephone_number": "630-737-0791",
"fax_number": "630-737-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N CASS AVE",
"address_2": "#D",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591750",
"telephone_number": "630-737-0791",
"fax_number": "630-737-0799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B.D.A&H",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-09",
"last_updated": "2008-09-09",
"status": "A",
"authorized_official_last_name": "AHDAB",
"authorized_official_first_name": "BANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-737-0791",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "IL",
"license": "019025269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cass family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.