Michael Scott Roessler, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

IL019019663 Issued in IL

Practice address

444 Prospect Ave
Mundelein, IL 60060-1963

Phone

(847) 566-9330

Fax

(847) 566-9617

NPI assigned

Oct 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316031073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 PROSPECT AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601963",
            "telephone_number": "847-566-9330",
            "fax_number": "847-566-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 PROSPECT AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601963",
            "telephone_number": "847-566-9330",
            "fax_number": "847-566-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESSLER",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "IL019019663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rizhaan Labs
• RM Medical LLC
• Robert M Pasen PHD PC (Neurobehavioral Health Connections, Ltd)
• Robin Miller LCSW LTD
• Susan D Rodgers, MS, PA-C
• Klaudia Joanna Rokicki, APN
• Andrew Romero, PHARMD
• Kristin Lynn Roth, SLP
• Kahly Royce
• Gelena Roytman, DDS

• General Practice Dentistry in Mundelein, IL
• Providers in Mundelein, 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 Jul 8, 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.