NPIMap

Organization Active NPI

3D Dental Services - LTD

Doing business as Manus Dental - Olympia Fields

  • General Practice Dentistry
  • Olympia Fields, IL
National Provider Identifier
1184844953
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019022073 Issued in IL
Legal business name
3D DENTAL SERVICES - LTD
Doing business as
Manus Dental - Olympia Fields
Practice address
19900 Governors Dr
Suite 102
Olympia Fields, IL 60461-1057
Phone
(708) 748-4222
Fax
(708) 748-8453
NPI assigned
Apr 26, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mr. Jeff Freedman
Title
President
Phone
(312) 274-3322

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019024881 IL
General Practice Dentistry 1223G0001X 019022073 IL Primary

Addresses

Primary practice location

19900 Governors Dr
Suite 102
Olympia Fields, IL 60461-1057

Mailing address

19900 Governors Dr
Suite 102
Olympia Fields, IL 60461-1057
Phone (708) 748-4222

Other names 1

  • Manus Dental - Olympia Fields Doing business as

National Provider Directory

National Provider Directory
Tax ID family
3-D Dental Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1184844953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19900 GOVERNORS DR",
            "address_2": "SUITE 102",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611057",
            "telephone_number": "708-748-4222",
            "fax_number": "708-748-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 GOVERNORS DR",
            "address_2": "SUITE 102",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611057",
            "telephone_number": "708-748-4222",
            "fax_number": "708-748-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3D DENTAL SERVICES - LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-274-3322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024881",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019022073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manus Dental - Olympia Fields",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.