1St Family Dental of Roselle Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

1ST FAMILY DENTAL OF ROSELLE INC.

Practice address

803 E Nerge Rd
Roselle, IL 60172-4817

Phone

(630) 351-1111

Fax

(630) 351-1115

NPI assigned

Aug 30, 2010

Last updated

Aug 30, 2010By 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

Vesna Belkic

Title

GM

Phone

(773) 340-8318

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1225344112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 E NERGE RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601724817",
            "telephone_number": "630-351-1111",
            "fax_number": "630-351-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 E NERGE RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601724817",
            "telephone_number": "630-351-1111",
            "fax_number": "630-351-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST FAMILY DENTAL OF ROSELLE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "BELKIC",
        "authorized_official_first_name": "VESNA",
        "authorized_official_title_or_position": "GM",
        "authorized_official_telephone_number": "773-340-8318"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Roselle, IL
• Providers in Roselle, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.