Josephine J Dabhi, DDS DENTIST

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019024462 Issued in IL

Practice address

1105 W Park Ave Suite 8
Park Dental
Libertyville, IL 60048

Phone

(847) 362-4740

Fax

(847) 362-4764

NPI assigned

Sep 14, 2006

Last updated

May 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mrs. Josephina J Dabhi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1275638991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W PARK AVE SUITE 8",
            "address_2": "PARK DENTAL",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "847-362-4740",
            "fax_number": "847-362-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W PARK AVE SUITE 8",
            "address_2": "PARK DENTAL",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "847-362-4740",
            "fax_number": "847-362-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABHI",
        "first_name": "JOSEPHINE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "DDS DENTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROL SUBSTANCE LICENSE",
            "identifier": "319013054",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "019024462",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINA",
            "last_name": "DABHI",
            "middle_name": "J",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cura Physical Therapy & Sports Medicine LLC
• Caitilin Cassidy Cusack, RBT
• Amy Cassandra Cwiklinski, MA, LMFT
• Jessica Lynn Czajka, PT
• Lisa D'Andrea, PA-C
• Brian E Dagel, CRNA
• Omar Dalloul, M.D.
• Joseph Dalton, PA-C
• Robert Paul Dambrosio, DO
• Erin Danahy, LCSW

• General Practice Dentistry in Libertyville, IL
• Providers in Libertyville, 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 May 18, 2023; 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.