Dupage Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DUPAGE DENTAL PC

Practice address

636 Raymond Dr
102
Naperville, IL 60563

Phone

(630) 579-1600

Fax

(630) 579-0022

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Timothy J Nugent, DDS

Title

President Dentist Owner

Phone

(630) 579-1600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386736346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 RAYMOND DR",
            "address_2": "102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60563",
            "telephone_number": "630-579-1600",
            "fax_number": "630-579-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 RAYMOND DR",
            "address_2": "102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60563",
            "telephone_number": "630-579-1600",
            "fax_number": "630-579-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NUGENT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT DENTIST OWNER",
        "authorized_official_telephone_number": "630-579-1600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Dunne, MSW, LCSW
• Sean Dunphy, DPT
• Hoanghuy Chau Duong, PHARMD
• Dupage Dental Center, LTD
• Dupage Dental Group
• Dupage ENT, LLC
• Dupage Health and Physical Therapy Center SC
• Dupage Integrative Medicine SC
• Dupage Medical Group LTD
• Dupage Medical Group LTD

• General Practice Dentistry in Naperville, IL
• Providers in Naperville, 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 Aug 22, 2020; 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.