Princeton Dental Care, LTD.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019023357 Issued in IL

Legal business name

PRINCETON DENTAL CARE, LTD.

Practice address

440 E Peru St
Princeton, IL 61356-2199

Phone

(815) 879-5273

NPI assigned

Jul 27, 2006

Last updated

Apr 21, 2016By 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

Dr. Pedro J. Monzon, D.D.S.NPI 1013114925

Title

President

Phone

(815) 879-5273

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, and the practitioner matching its NPPES authorized official.

• Pedro Javier Monzon, D.D.S.

  • Dentist
  • Princeton, IL
  • NPI 1013114925
  NPD (past) Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1346264850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "address_2": "440 EAST PERU STREET",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613560547",
            "telephone_number": "815-879-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E PERU ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562199",
            "telephone_number": "815-879-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON DENTAL CARE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "MONZON",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-879-5273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019023357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahlyssa Pinter, LCSW
• Play It Forward Counseling LLC
• Kendra Mae Poole, APRN FNP-C
• Ashton Prince, COTA
• Princeton Chiropractic Center LLC (Princeton Chiropractic Center)
• Princeton Elem School Dist 115
• Princeton Emergency Services, LLC
• Princeton Family Dentistry, LTD
• Princeton Family Physicians, S.C.
• Princeton Pharmacy, Inc

• Dental Clinic/Center in Princeton, IL
• Providers in Princeton, 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 Apr 21, 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.