Organization Active NPI

Mt. Prospect Dental Center, LTD

  • General Practice Dentistry
  • Arlington Heights, IL
National Provider Identifier
1124148374
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MT. PROSPECT DENTAL CENTER, LTD
Practice address
617 E Golf Rd
Suite 106
Arlington Heights, IL 60005-4966
Phone
(847) 593-8465
Fax
(847) 593-5144
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles Frank Gilbert, D.D.S.NPI 1851411011
Title
President of Corporation
Phone
(847) 593-8465

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

617 E Golf Rd
Suite 106
Arlington Heights, IL 60005-4966

Mailing address

617 E Golf Rd
Suite 106
Arlington Heights, IL 60005-4966
Phone (847) 593-8465

National Provider Directory

National Provider Directory

Locations

617 E Golf Rd
Ste 106
Arlington Heights, IL 60005
Phone (847) 593-8465

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124148374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E GOLF RD",
            "address_2": "SUITE 106",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054966",
            "telephone_number": "847-593-8465",
            "fax_number": "847-593-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E GOLF RD",
            "address_2": "SUITE 106",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054966",
            "telephone_number": "847-593-8465",
            "fax_number": "847-593-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. PROSPECT DENTAL CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "847-593-8465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • 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.