Andrew Dental Care, LTD

Primary specialty

DentistTaxonomy code 122300000X

License

019022202 Issued in IL

Legal business name

ANDREW DENTAL CARE, LTD

Practice address

11950 S Harlem Ave
Suite 102
Palos Heights, IL 60463-1150

Phone

(708) 429-1110

NPI assigned

Sep 22, 2010

Last updated

Sep 22, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

ANDREW DENTAL CARE, LTDAs reported in NPPES

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

Authorized official

Name

Dr. Marco Roselli

Title

Owner

Phone

(708) 429-1110

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Andrew Dental Care LTD

Locations

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1164730222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11950 S HARLEM AVE",
            "address_2": "SUITE 102",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631150",
            "telephone_number": "708-429-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11950 S HARLEM AVE",
            "address_2": "SUITE 102",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631150",
            "telephone_number": "708-429-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW DENTAL CARE, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANDREW DENTAL CARE, LTD",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "ROSELLI",
        "authorized_official_first_name": "MARCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-429-1110",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019022202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "0190022202",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aquila Anderson
• Elizabeth Mary Anderson, OTR/L CHT
• Mary J Andreani, APRN, CRNA
• John M Andreoni, MD
• Andrew & Lubomyra Kazaniwskyj DO
• Charlene Andrew, CADC
• Linda Anicich, MHS, CCC-SLP
• Anne & Gyula, Inc (mary del corsetieres)
• Nicole Annes, PA-C
• Mohammed Abdul Mannan Ansari, PA-C

• Dentist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.