Lakeland Hills Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LAKELAND HILLS DENTAL PC

Practice address

5011 N Illinois
Suite 1
Fairview Heights, IL 62208-3419

Phone

(618) 222-1942

NPI assigned

Aug 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Walter J. JankowskiNPI 1700805512

Title

President/Dentist

Phone

(618) 222-1942

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter J Jankowski, DMD

  • Dentist
  • Fairview Heights, IL
  • NPI 1700805512

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194735761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 ARBOR MEADOWS COURT",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083419",
            "telephone_number": "618-444-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 N ILLINOIS",
            "address_2": "SUITE 1",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083419",
            "telephone_number": "618-222-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND HILLS DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANKOWSKI",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "618-222-1942"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Frederick Kramer, PHARM.D.
• Taylor Kreck
• Jake Brian Krekel, PHARMD
• Amanda Kurtz, D.C.
• Sarah Lafond, MHP
• Mazhar H Lakho, MD
• Valerie Veronica Lee, IDMT
• Emma Lewis
• Lifetime Dental Care of Illinois, PC (Smiles by Design)
• Thomas Edward Ligibel

• General Practice Dentistry in Fairview Heights, IL
• Providers in Fairview Heights, 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 Aug 22, 2020; 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.