NPIMap

Organization Active NPI

Dental Experts, LLC

  • General Practice Dentistry
  • Waukegan, IL
National Provider Identifier
1245487792
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019024846 Issued in IL
Legal business name
DENTAL EXPERTS, LLC
Practice address
2821 Grand Ave
Waukegan, IL 60085-2372
Phone
(847) 662-4400
NPI assigned
Aug 26, 2008
Last updated
Aug 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Sameera Hussain, DMD
Title
Owner / Dentist
Phone
(847) 662-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019024846 IL Primary

Addresses

Primary practice location

2821 Grand Ave
Waukegan, IL 60085-2372

Mailing address

2821 Grand Ave
Waukegan, IL 60085-2372
Phone (847) 662-4400

National Provider Directory

National Provider Directory
Tax ID family
Dental Experts LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2821 Grand Ave
Waukegan, IL 60085
Phone (847) 662-4400

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1245487792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852372",
            "telephone_number": "847-662-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852372",
            "telephone_number": "847-662-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL EXPERTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "SAMEERA",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "847-662-4400",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.