Active NPI
Cosmetic and Implant Dental Center
- Dental Clinic/Center
- Lincolnwood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 019017109
- Legal business name
- COSMETIC AND IMPLANT DENTAL CENTER
- Practice address
- 6921 N Lincoln Ave
Lincolnwood, IL 60712-2605 - Phone
- (847) 675-7010
- Fax
- (847) 675-7716
- NPI assigned
- Aug 27, 2012
- Last updated
- Aug 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Bruce Silvers, D.M.D.
- Title
- President
- Phone
- (847) 675-7010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 019017109 | IL | Primary |
Addresses
Primary practice location
6921 N Lincoln Ave
Lincolnwood, IL 60712-2605
Mailing address
6921 N Lincoln Ave
Lincolnwood, IL 60712-2605
Phone (847) 675-7010
National Provider Directory
National Provider Directory- Tax ID family
- Cosmetic and Implant Dental Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Lincolnwood, IL
- NPI 1699028167
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Lincolnwood, IL
- NPI 1427219377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346025600000",
"number": "1114275914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6921 N LINCOLN AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607122605",
"telephone_number": "847-675-7010",
"fax_number": "847-675-7716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6921 N LINCOLN AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607122605",
"telephone_number": "847-675-7010",
"fax_number": "847-675-7716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COSMETIC AND IMPLANT DENTAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-27",
"last_updated": "2012-08-27",
"status": "A",
"authorized_official_last_name": "SILVERS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "BRUCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-675-7010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "IL",
"license": "019017109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.