Active NPI
MW Dental LLC
- Dental Clinic/Center
- Oak Park, IL
National Provider Identifier
1114448255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 019029944
- Legal business name
- MW DENTAL LLC
- Practice address
- 312 Madison St
Oak Park, IL 60302-4833 - Phone
- (708) 383-2992
- Fax
- (708) 383-4540
- NPI assigned
- Jun 28, 2017
- 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
- Zainab Wilson, DDS
- Title
- Dentist
- Phone
- (708) 383-2992
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 019029944 | IL | Primary |
Addresses
Primary practice location
312 Madison St
Oak Park, IL 60302-4833
Mailing address
312 Madison St
Oak Park, IL 60302
Phone (708) 383-2992
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Oak Park, IL
- NPI 1548674740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1114448255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 MADISON ST",
"city": "OAK PARK",
"state": "IL",
"postal_code": "60302",
"telephone_number": "708-383-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 MADISON ST",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603024833",
"telephone_number": "708-383-2992",
"fax_number": "708-383-4540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MW DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-28",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "ZAINAB",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "708-383-2992",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "IL",
"license": "019029944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.