Dundee Smile Center, LTD.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019020000 Issued in IL

Legal business name

DUNDEE SMILE CENTER, LTD.

Practice address

201 Penny Ave
Suite 300
East Dundee, IL 60118-1431

Phone

(847) 428-8700

Fax

(847) 428-8703

NPI assigned

Jul 2, 2008

Last updated

Jul 2, 2008By 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

Dr. Robert B. John, D.D.S.NPI 1245329291

Title

President/Ceo

Phone

(630) 961-5732

Specialties & licenses 1

Addresses

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.

• Robert B John

  • General Practice Dentistry
  • Naperville, IL
  • NPI 1245329291
  Authorized official Same address or phone

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1215190012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PENNY AVE",
            "address_2": "SUITE 300",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601181431",
            "telephone_number": "847-428-8700",
            "fax_number": "847-428-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PENNY AVE",
            "address_2": "SUITE 300",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601181431",
            "telephone_number": "847-428-8700",
            "fax_number": "847-428-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNDEE SMILE CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "630-961-5732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019020000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Clark
• Kirsten Sandra Cook
• Amish V Desai, D.D.S.
• Lindsay Dort
• Russell Dumas, BSN, RN
• East Dundee and Countryside Fire Protection District
• Gerel Emgushova, D.M.D
• Liliana M Erazo, M.D.
• Fox Valley Immediate Care Center, LTD
• Franklin Park Medical Center, PC

• Dental Clinic/Center in East Dundee, IL
• Providers in East Dundee, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.