Gregory L. Fauth, D.D.S.,P.C.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

211159 Issued in IL

Legal business name

GREGORY L. FAUTH, D.D.S.,P.C.

Practice address

1940 W Galena Blvd
Suite 4
Aurora, IL 60506-4319

Phone

(630) 896-2900

Fax

(630) 896-2968

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory L. Fauth, D.D.S.

Title

President

Phone

(630) 896-2900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1184736241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 W GALENA BLVD",
            "address_2": "SUITE 4",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064319",
            "telephone_number": "630-896-2900",
            "fax_number": "630-896-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 W GALENA BLVD",
            "address_2": "SUITE 4",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064319",
            "telephone_number": "630-896-2900",
            "fax_number": "630-896-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L. FAUTH, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "FAUTH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-896-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "211159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Green
• Mary T Green
• Megan Elizabeth Green, DDS
• Tiffany E Green, MAPC
• Shawna Nicole Greene, DVM, MS, DIPL AEVIM
• Ronald C Gregus, M.D.
• Natalie Gresk
• Cynthia M Griffiths, PT
• Renee Elizabeth Grimes
• Allison Grimm, LCSW

• Periodontics in Aurora, IL
• Providers in Aurora, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.