VVN Dental PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

VVN DENTAL PC

Practice address

12121 Western Ave Ste 3
Blue Island, IL 60406-1386

Phone

(708) 293-7773

NPI assigned

Jun 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Dimitri Haralampopoulos

Title

Co-Owner

Phone

(847) 414-3309

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louise Sarabia, DDS

  • Dentist
  • Blue Island, IL
  • NPI 1609259423
  NPD (past)

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

{
    "created_epoch": "1308960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308960000000",
    "number": "1104112374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 WESTERN AVE STE 3",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 WESTERN AVE STE 3",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061386",
            "telephone_number": "708-293-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VVN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-25",
        "last_updated": "2011-06-25",
        "status": "A",
        "authorized_official_last_name": "HARALAMPOPOULOS",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "847-414-3309",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaneil Elizabeth Vance
• Julie G Vanderbilt, MD
• Salvatore Ventura, MD
• Vision Salon Eye Care Associates
• Louis Volpi III, C.R.S.S.
• Susan N Wagner, APRNCNS
• Juliet Ann Russom Walden, BS, AM, LSCW
• Walgreen Co
• Toyar Walker
• Earnest Wallace

• Dentist in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.