John a. Marsala D.D.S. ; LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19-18724 Issued in IL

Legal business name

JOHN A. MARSALA D.D.S. ; LTD

Practice address

8225 Grand Ave
River Grove, IL 60171-1517

Phone

(630) 310-4897

NPI assigned

Aug 22, 2008

Last updated

Nov 30, 2009By 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. John A Marsala, D.D.S.

Title

President

Phone

(630) 310-4897

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1366699142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 GRAND AVE",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "601711517",
            "telephone_number": "630-310-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 GRAND AVE",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "601711517",
            "telephone_number": "630-310-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. MARSALA D.D.S. ; LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "MARSALA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-310-4897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19-18724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davina Harris, LMT
• Head First Health, LLC
• Kevin Hendrix, DPT, ATC
• Andrea Evelyn Hinojosa, MS RDN CLC
• Lawrence T Jacobs, D.D.S.
• Rachel Kramer, LCSW
• Sydney Lee Kurtz
• Alison Laton, RDN
• Lawrence T Jacobs DDS PC
• Niema Monae Malone, RN

• General Practice Dentistry in River Grove, IL
• Providers in River Grove, 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 Nov 30, 2009; 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.