Ault Family Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AULT FAMILY DENTISTRY PLLC

Practice address

1810 Woodfield Dr
Savoy, IL 61874-9479

Phone

(217) 352-6232

NPI assigned

Sep 16, 2022

Last updated

Sep 16, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

AULT AND MASSEY FAMILY DENTISTRYAs reported in NPPES

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

Authorized official

Name

Dr. Justin Robert Ault, DMDNPI 1548830870

Title

Dentist

Phone

(920) 672-9706

Specialties & licenses 1

Addresses

Part of

Ault and Massey Family Dentistry LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ault and Massey Family Dentistry LLC

  • Dentist
  • Savoy, IL
  • NPI 1639891518
  NPPES parent name

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.

• Justin R Ault, DMD

  • Dentist
  • Savoy, IL
  • NPI 1548830870
  NPD Authorized official

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1356063226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 WOODFIELD DR",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749479",
            "telephone_number": "217-352-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 WOODFIELD DR",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749479",
            "telephone_number": "217-352-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AULT FAMILY DENTISTRY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AULT AND MASSEY FAMILY DENTISTRY",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "AULT",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "920-672-9706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ijeoma Anukwu
• Karen L Aprill, LCPC
• Tiara Armstrong
• Aspire Counseling & Assessment
• Ault and Massey Family Dentistry LLC
• Justin R Ault, DMD
• Colleen Harden Aziz, LCPC
• Katherine Anne Badger
• Bayview Family Clinic
• Bayview Family Clinic

• Dentist in Savoy, IL
• Providers in Savoy, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.