Hanson & Sevandal Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

019.026706 Issued in IL

Legal business name

HANSON & SEVANDAL DENTISTRY, LLC

Practice address

2570 Foxfield Rd Ste 203
St Charles, IL 60174-1406

Phone

(630) 587-4444

Fax

(630) 587-5811

NPI assigned

Apr 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Maureen Sevandal, DDS

Title

Member

Phone

(312) 493-6102

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1366861296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 FOXFIELD RD STE 203",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741406",
            "telephone_number": "630-587-4444",
            "fax_number": "630-587-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 FOXFIELD RD STE 203",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741406",
            "telephone_number": "630-587-4444",
            "fax_number": "630-587-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSON & SEVANDAL DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "SEVANDAL",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "312-493-6102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019.026706",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019026649",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher M Hampson, M.D.
• Matthew James Hanlon, M.A.
• Francis William Hanna, D.C.
• Constance Anne Marie Hansen
• Michelle G Hansen, PSYD
• Jennifer Lynn Hanson, MS ED
• Judith Hunter Hanson, LCSW
• Susan D Hanson, LCPC
• Luz M Happel, LCSW
• Heather Harej, PSY.D.

• Pediatric Dentistry in St Charles, IL
• Providers in St Charles, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.