Affordable Dentures & Implants - Shorewood, P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AFFORDABLE DENTURES & IMPLANTS - SHOREWOOD, P.C.

Practice address

578 Brookforest Ave
Shorewood, IL 60404-9706

Phone

(815) 730-1378

Fax

(630) 907-9755

NPI assigned

Aug 9, 2018

Organization subpart

No

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

Authorized official

Name

Eddy Ramero Matos, DMD

Title

Practice Owner

Phone

(815) 730-1378

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1215416201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 BROOKFOREST AVE",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604049706",
            "telephone_number": "815-730-1378",
            "fax_number": "630-907-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 BROOKFOREST AVE",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604049706",
            "telephone_number": "815-730-1378",
            "fax_number": "630-907-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - SHOREWOOD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "RAMERO MATOS",
        "authorized_official_first_name": "EDDY",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "815-730-1378",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Action Physical Medicine & Rehabilitation, SC
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• Jason Todd Adolph, MS, LAT ATC
• Advanced Family Dental of Shorewood, P.C.
• Affordable Dentures & Implants - Shorewood II, P.C.
• Alden Estates of Shorewood, Inc
• Alden Estates of Shorewood, Inc.
• Linda K Alonso, RPH
• American Drug Stores LLC
• Kimberly Lynn Anderson, MS, OTR/L

• All providers in Shorewood, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.