Organization Active NPI

D&L Family Dental Center

Doing business as D&L Dental Center

  • General Practice Dentistry
  • Vernon Hills, IL
National Provider Identifier
1174774228
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019023435 Issued in IL
Legal business name
D&L FAMILY DENTAL CENTER
Doing business as
D&L Dental Center
Practice address
300 Center Dr
Suite 106
Vernon Hills, IL 60061-1525
Phone
(847) 968-2220
NPI assigned
Oct 7, 2008
Last updated
Oct 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Chu N. Lee
Title
President
Phone
(847) 968-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019023435 IL Primary

Addresses

Primary practice location

300 Center Dr
Suite 106
Vernon Hills, IL 60061-1525

Mailing address

300 Center Dr
Suite 106
Vernon Hills, IL 60061-1525
Phone (847) 968-2220

Other identifiers 1

IdentifierTypeStateIssuer
9184610MedicaidIL

Other names 1

  • D&L Dental Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1174774228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTER DR",
            "address_2": "SUITE 106",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611525",
            "telephone_number": "847-968-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTER DR",
            "address_2": "SUITE 106",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611525",
            "telephone_number": "847-968-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&L FAMILY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHU",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-968-2220"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9184610",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D&L Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.