Leading Edge Dental Center LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LEADING EDGE DENTAL CENTER LTD

Practice address

4355 Howard St
Skokie, IL 60076-3755

Phone

(847) 679-0110

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Michael A Goone, DDSNPI 1659554210

Title

President

Phone

(847) 679-0110

Specialties & licenses 1

Addresses

Other names 1

• Lincolnwood Dental Center Ltd Former legal business name

Locations

Practitioners 2

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

• Michael A Goone, D.D.S.

  • Dentist
  • Skokie, IL
  • NPI 1659554210
  NPD (past) Authorized official
• Krizia Pallarca

  • General Practice Dentistry
  • Skokie, IL
  • NPI 1558976894
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1285726364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 HOWARD ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763755",
            "telephone_number": "847-679-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 HOWARD ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763755",
            "telephone_number": "847-679-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING EDGE DENTAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "GOONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-679-0110",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincolnwood Dental Center Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alla Layman, PT
• Samantha Nichole Laystrom, PA-C
• Sheldon Lazar, M.D.
• Danielle Marie Leachman, PA-C
• Lead Consultants Inc
• Emiliano Leal
• Lease Therapy Collective PLLC
• Karla L Lebedoff, DNP, APRN, CPNP-PC
• Diana Patricia Lebensztejn
• Russell Marcus Leboyer, M.D,

• General Practice Dentistry in Skokie, IL
• Providers in Skokie, 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 Aug 21, 2007; 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.