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

Last updated

Aug 22, 2020By 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

Timothy J Nugent, DDSNPI 1902236763

Title

President Dentist Owner

Phone

(630) 579-1600

Specialties & licenses 1

Addresses

Locations

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.

• Timothy Nugent, D.D.S.

  • Dentist
  • Naperville, IL
  • NPI 1902236763
  Authorized official Same address or phone

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 Children's ENT & Allergy)
• Dupage Health and Physical Therapy Center SC
• Dupage Integrative Medicine SC
• Dupage Medical Group LTD (M & M Orthpaedics a member of Du Page Medical Group)
• 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.