Dental Associates of Plainfield P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1917621 Issued in IL

Legal business name

DENTAL ASSOCIATES OF PLAINFIELD P.C.

Practice address

14955 S Van Dyke Rd
Unit100
Plainfield, IL 60544-5804

Phone

(815) 436-4900

Fax

(815) 436-6139

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Randall J. Hodoval, D.D.S.NPI 1457422305

Title

President

Phone

(815) 436-4900

Specialties & licenses 1

Addresses

Practitioners 2

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

• Randall James Hodoval, D.D.S.

  • General Practice Dentistry
  • Plainfield, IL
  • NPI 1457422305
  NPD (past) Authorized official
• Adam Wahby

  • General Practice Dentistry
  • Plainfield, IL
  • NPI 1578496139
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1184796948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14955 S VAN DYKE RD",
            "address_2": "UNIT100",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445804",
            "telephone_number": "815-436-4900",
            "fax_number": "815-436-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14955 S VAN DYKE RD",
            "address_2": "UNIT100",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445804",
            "telephone_number": "815-436-4900",
            "fax_number": "815-436-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF PLAINFIELD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "HODOVAL",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-436-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "1917621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina J Delise
• Alexia Dellaca
• Dennis Dettmann, O.D. S.C.
• Dana Dennis, LPC
• Sara Kaitlyn Denova, LSW
• Dental Professionals of Illinois, P.C.
• Dental Shine II P.C
• Kiranjit K Deol, MD
• Derick Dermatology, PLLC
• Ankit Desai, M.D.

• General Practice Dentistry in Plainfield, IL
• Providers in Plainfield, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.