Lemont Family Dental LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

BS2716162 Issued in IL

Legal business name

LEMONT FAMILY DENTAL LTD

Practice address

160-B East Wend St
Lemont, IL 60439

Phone

(630) 257-8669

Fax

(630) 257-9255

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer L Splitt Krull, DDS

Title

Owner President

Phone

(630) 257-8669

Specialties & licenses 1

Addresses

Tax ID family

Lemont Family Dental LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lemont Family Dental, LTD

  • Dentist
  • Lemont, IL
  • NPI 1194156844
  NPD tax ID

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336210210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160-B EAST WEND ST",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "60439",
            "telephone_number": "630-257-8669",
            "fax_number": "630-257-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160-B EAST WEND ST",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "60439",
            "telephone_number": "630-257-8669",
            "fax_number": "630-257-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMONT FAMILY DENTAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPLITT KRULL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "630-257-8669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "BS2716162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Lee, M.D.
• Stephanie T. Lemberis, D.M.D.
• Lemont Bromberek Combined School District 113a
• Lemont Chiropractic Center PC
• Lemont Dental Clinic
• Lemont Family Dental, LTD
• Lemont Family Health Center, LTD.
• Lemont Fire Protection District
• Lemont Medical SC
• Lemont Nursing and Rehabilitation Center, LLC

• General Practice Dentistry in Lemont, IL
• Providers in Lemont, 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 22, 2020; 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.