F L M Dental Corp PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019020112 Issued in IL

Legal business name

F L M DENTAL CORP PC

Practice address

3514 N Lincoln Ave
Chicago, IL 60657-1104

Phone

(773) 929-4140

Fax

(773) 929-2514

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Jose MariscalNPI 1306071295

Title

Owner

Phone

(773) 929-4140

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Manuel Mariscal, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1306071295
  NPD (past) Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1235209727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571104",
            "telephone_number": "773-929-4140",
            "fax_number": "773-929-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571104",
            "telephone_number": "773-929-4140",
            "fax_number": "773-929-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F L M DENTAL CORP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "MARISCAL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-929-4140"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019020112",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anuli Chinaka Ezimako, MD
• Patricia Nwadinma Ezirike, PMHNP
• Benjamin Ezsias
• Emily E Ezzo, PSYD
• F G L Lerner MD Services LTD
• F. J. Randin MD LTD
• F. R. Cavero, D.D.S. & Associates, P.C.
• F. Robert Wilkin D.D.S., LTD
• F&R Services, LLC
• Fa 1St Solutions

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Feb 21, 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.