Dental 360 Dyer LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL 360 DYER LLC

Practice address

890 Richard Rd
Dyer, IN 46311-1779

Phone

(219) 322-1326

NPI assigned

Nov 30, 2023

Organization subpart

No

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

Authorized official

Name

Ivana Bueno

Title

Director

Phone

(773) 798-9382

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1316713290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 RICHARD RD",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 RICHARD RD",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111779",
            "telephone_number": "219-322-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL 360 DYER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "BUENO",
        "authorized_official_first_name": "IVANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-798-9382"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Davidson, PHARMD
• Fernando Miguel De Lemos Figueira, MD
• Erica Lynn Deenihan, FNP
• Dellie Homecare LLC
• Dana Deloian, ATC
• Dental Cure of Dyer
• Dermio Dermatology, LLC
• Nicole Jeanee Desmaretz, PTA
• Kristin J Devries
• DF Dental, LLC (Dyer Family Dental)

• General Practice Dentistry in Dyer, IN
• Providers in Dyer, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.