Poldek Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

019026215 Issued in IL

Legal business name

POLDEK FAMILY DENTAL

Practice address

642 S Sutton Rd
Streamwood, IL 60107-2368

Phone

(630) 497-9787

Fax

(630) 497-9387

NPI assigned

Jun 2, 2016

Organization subpart

No

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

Authorized official

Name

Marzena Pawlak

Title

Office Manager

Phone

(630) 497-9787

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michael Allan Lamarca, D.D.S.

  • General Practice Dentistry
  • Green Bay, WI
  • NPI 1689795957
  NPD (past)

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1316395155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 S SUTTON RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072368",
            "telephone_number": "630-497-9787",
            "fax_number": "630-497-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 S SUTTON RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072368",
            "telephone_number": "630-497-9787",
            "fax_number": "630-497-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLDEK FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "PAWLAK",
        "authorized_official_first_name": "MARZENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-497-9787"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eriberto Cortez Pili, PT
• Mena Rose Piliin, APRN
• Pinnacle Dental Centers LLC
• Plan B Optics, PC
• Anna Plecha, LCPC
• Post-Acute Physicians of Illinois LLC
• Raihan Shafi Pothigara, PHARMD
• Prestige Dental P C
• Primary Eye Care, LTD.
• William Puga, M.D.

• Dentist in Streamwood, IL
• Providers in Streamwood, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.