Organization Active NPI

Woodridge Family Dental P.C

  • General Practice Dentistry
  • Woodridge, IL
National Provider Identifier
1285962142
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WOODRIDGE FAMILY DENTAL P.C
Practice address
7440 Woodward Ave
Suite J
Woodridge, IL 60517-2657
Phone
(630) 453-8515
NPI assigned
Dec 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Priti JainNPI 1669534533
Title
President
Phone
(630) 453-8515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7440 Woodward Ave
Suite J
Woodridge, IL 60517-2657

Mailing address

7440 Woodward Ave
Suite J
Woodridge, IL 60517-2657

National Provider Directory

National Provider Directory

Locations

7440 Woodward Ave
Ste J
Woodridge, IL 60517
Phone (630) 453-8515

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1285962142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 WOODWARD AVE",
            "address_2": "SUITE J",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 WOODWARD AVE",
            "address_2": "SUITE J",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172657",
            "telephone_number": "630-453-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODRIDGE FAMILY DENTAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "PRITI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-453-8515"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.