Organization Active NPI

Fresh Dental Care LTD

  • General Practice Dentistry
  • Buffalo Grove, IL
National Provider Identifier
1346529682
Registry record updated Dec 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019025921 Issued in IL
Legal business name
FRESH DENTAL CARE LTD
Practice address
150 W Half Day Rd Ste 106
Buffalo Grove, IL 60089-6591
Phone
(847) 348-3357
Fax
(847) 701-3173
NPI assigned
Aug 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2018

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

Authorized official

Name
Dr. Lijuan Huang, DMDNPI 1205926573
Title
President
Phone
(847) 348-3357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019025921 IL Primary

Addresses

Primary practice location

150 W Half Day Rd Ste 106
Buffalo Grove, IL 60089-6591

Mailing address

150 W Half Day Rd Ste 106
Buffalo Grove, IL 60089-6591
Phone (847) 348-3357

National Provider Directory

National Provider Directory

Locations

150 W Half Day Rd
Ste 106
Buffalo Grove, IL 60089
Phone (847) 348-3357

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544227200000",
    "number": "1346529682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W HALF DAY RD STE 106",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896591",
            "telephone_number": "847-348-3357",
            "fax_number": "847-701-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W HALF DAY RD STE 106",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896591",
            "telephone_number": "847-348-3357",
            "fax_number": "847-701-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH DENTAL CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2018-12-08",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "LIJUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-348-3357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2018; 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.