Dentist in Vernon Hills LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTIST IN VERNON HILLS LLC

Practice address

555 E Townline Rd Ste 4
Vernon Hills, IL 60061-1552

Phone

(803) 830-6881

Fax

(864) 274-0708

NPI assigned

Dec 2, 2024

Organization subpart

No

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

Authorized official

Name

Sunil R Eamani

Title

Manager

Phone

(803) 830-6881

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1366268716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E TOWNLINE RD STE 4",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611552",
            "telephone_number": "803-830-6881",
            "fax_number": "864-274-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E TOWNLINE RD STE 4",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611552",
            "telephone_number": "803-830-6881",
            "fax_number": "864-274-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST IN VERNON HILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "EAMANI",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-830-6881"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Vernon Hills, IL
• Providers in Vernon Hills, 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 Dec 2, 2024; 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.