Glenwood Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GLENWOOD DENTAL PC

Practice address

1155 N Main St
Ste a
Glendale Heights, IL 60139-3508

Phone

(630) 545-1116

Fax

(630) 545-1117

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Subbashini Marimuthu, D.M.DNPI 1265443477

Title

President

Phone

(630) 545-1116

Specialties & licenses 1

Addresses

Other names 1

• Glenwood Dental Care Doing business as

Locations

Practitioners 1

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

• Subbashini Marimuthu, D.M.D

  • General Practice Dentistry
  • Glendale Heights, IL
  • NPI 1265443477
  NPD (past) Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104974708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 N MAIN ST",
            "address_2": "STE A",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601393508",
            "telephone_number": "630-545-1116",
            "fax_number": "630-545-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N MAIN ST",
            "address_2": "STE A",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601393508",
            "telephone_number": "630-545-1116",
            "fax_number": "630-545-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARIMUTHU",
        "authorized_official_first_name": "SUBBASHINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-545-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenwood Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maher Ghattas, D.C.
• Lonnie Givens
• Glen Oaks Anesthesiologists, SC
• Glendale Heights Dental P.C.
• Glenside Fire Protection District
• Aaron Go, APRN
• Melissa Gonzalez
• Grace Pediatrics LLC
• Luis Gregorio Granados Paucar, DDS
• Noelle Kathleen Greene

• General Practice Dentistry in Glendale Heights, IL
• Providers in Glendale Heights, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.