Family&Pediatric Dental, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019.028238 Issued in IL

Legal business name

FAMILY&PEDIATRIC DENTAL, INC

Practice address

381 W Northwest Hwy
Palatine, IL 60067-2414

Phone

(773) 679-2419

NPI assigned

Dec 22, 2014

Last updated

Dec 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Olena Obeid

Title

General Manager

Phone

(773) 679-2419

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1336537588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8418 W CRAIN ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141845",
            "telephone_number": "773-679-2419",
            "fax_number": "773-561-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 W NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672414",
            "telephone_number": "773-679-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY&PEDIATRIC DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "OBEID",
        "authorized_official_first_name": "OLENA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "773-679-2419",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019.028238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Express Yourself Therapy
• William Scott Fager, D.C.
• Kathleen Helen Falotico, MSW, L.C.S.W.
• Family Practice Center of Palatine S.C
• Family Treatment Centers SC
• Leah Faust
• Katherine Fearon, LCSW
• Ryan Robert Felde, D.C.
• Justin L Feng, DMD
• Alondra Fernandez

• Dental Clinic/Center in Palatine, IL
• Providers in Palatine, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.