Westchester Family Dental LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-025052 Issued in IL

Legal business name

WESTCHESTER FAMILY DENTAL LTD

Practice address

4 Westbrook Corporate Center Ste 102
Westchester, IL 60104

Phone

(708) 562-5621

Fax

(708) 562-7657

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Raffaele C Ambrosino, D.D.S.

Title

President

Phone

(708) 562-5621

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.

• Sameet Thakrar

  • General Practice Dentistry
  • Westchester, IL
  • NPI 1750647335
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1356411136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WESTBROOK CORPORATE CENTER STE 102",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60104",
            "telephone_number": "708-562-5621",
            "fax_number": "708-562-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WESTBROOK CORPORATE CENTER STE 102",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60104",
            "telephone_number": "708-562-5621",
            "fax_number": "708-562-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER FAMILY DENTAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "AMBROSINO",
        "authorized_official_first_name": "RAFFAELE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-562-5621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-025052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Suburban Speech Pathology
• Westbrook Open MRI, LLC.
• Westbrook Wellness Internal Medicine, SC
• Westchester Diagnostic Laboratory
• Westchester Eye Surgeons, S.C.
• Westchester Integrated Health Care SC
• Westchester Integrated Health Services
• Westchester Olympic Service Corp
• Westchester Public Schools, District 92.5
• Evan Matthew Whaley, DPT

• General Practice Dentistry in Westchester, IL
• Providers in Westchester, 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 Jul 24, 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.