Preferred Dentistry Associates of Wisconsin, L.L.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PREFERRED DENTISTRY ASSOCIATES OF WISCONSIN, L.L.C.

Practice address

1029 Howard St
Suite 201
Evanston, IL 60202-3877

Phone

(847) 491-0660

Fax

(847) 869-5858

NPI assigned

Jul 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Frank Lambros Karkazis, D.D.S.

Title

Manager/Member

Phone

(847) 491-0660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1245543289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 HOWARD ST",
            "address_2": "SUITE 201",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023877",
            "telephone_number": "847-491-0660",
            "fax_number": "847-869-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 HOWARD ST",
            "address_2": "SUITE 201",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023877",
            "telephone_number": "847-491-0660",
            "fax_number": "847-869-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED DENTISTRY ASSOCIATES OF WISCONSIN, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "KARKAZIS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "LAMBROS",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "847-491-0660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Michael Prager, MD
• Paritosh Prasai, MD
• Precision RX LLC
• Preferred Dental Group, LTD.
• Preferred Dental, P.C.
• Preferred Dentistry Associates,P.C.
• Premier Dental Care Illinois Inc
• Michael Prendergast, MD
• Rachel H Prendergast, LCPC
• Presbyterian Home

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.