Michael L Connolly DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019020342 Issued in IL

Legal business name

MICHAEL L CONNOLLY DDS

Practice address

6019 N Cicero Ave
Chicago, IL 60646-4301

Phone

(773) 286-9700

NPI assigned

Aug 29, 2017

Last updated

Aug 29, 2017By 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. Michael L Connolly, DDSNPI 1821058801

Title

Owner

Phone

(773) 286-9700

Specialties & licenses 1

Addresses

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.

• Michael L. Connolly, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1821058801
  Authorized official Same address or phone

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1366969495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464301",
            "telephone_number": "773-286-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464301",
            "telephone_number": "773-286-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L CONNOLLY DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-286-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019020342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Heard (Micares)
• Michael J Young M D P C
• Michael J. Gainer, PH.D., P.C. (Gainer Psychological Associates)
• Michael J. Reinstein M.D PC (Community Mental Health Services)
• Michael Jutovsky MD LLC
• Michael L. Connolly DDS, LTD.
• Michael M. Maghrabi DPM, PC (Foot Clinics)
• Michael McNett MD SC (The Fibromyalgia Treatment Centers of America)
• Michael Melaniphy, LCSW, PLLC
• Michael Palumbo PHD PLLC

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.