Rollins Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

019025329 Issued in IL

Legal business name

ROLLINS DENTAL CENTER

Practice address

916 E Rollins Rd
Round Lake Beach, IL 60073-2247

Phone

(224) 757-5939

NPI assigned

Aug 23, 2014

Organization subpart

No

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

Authorized official

Name

Hong Yoon, DDS

Title

President

Phone

(224) 757-5939

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408752000000",
    "number": "1265832513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 E ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600732247",
            "telephone_number": "224-757-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 E ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600732247",
            "telephone_number": "224-757-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLINS DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-23",
        "last_updated": "2014-08-23",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "HONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-757-5939",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen T Reilly, D.D.S.
• Anna Rose Reynolds, MSW, LCSW
• Sung June Rhee, DDS
• Debbie Rhie, DMD
• Rollins Chiropractic
• Round Lake Medical Imaging Inc
• Round Lake Medical Suites
• Round Lake MRI, Inc
• Steven L Ruohomaki, L.C.S.W.
• Kirsten Elise Ryan, DT, LCPC

• Dentist in Round Lake Beach, IL
• Providers in Round Lake Beach, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2014; 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.