NPIMap

Organization Active NPI

Pleasant Dental LLC

  • General Practice Dentistry
  • Dolton, IL
National Provider Identifier
1386795698
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PLEASANT DENTAL LLC
Practice address
609 E Sibley Blvd
Dolton, IL 60419-2648
Phone
(708) 849-4400
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dean D. Dietrich, D.M.D.NPI 1548359722
Title
Owner
Phone
(708) 849-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

609 E Sibley Blvd
Dolton, IL 60419-2648

Mailing address

609 E Sibley Blvd
Dolton, IL 60419-2648
Phone (708) 849-4400

National Provider Directory

National Provider Directory

Locations

609 E Sibley Blvd
Dolton, IL 60419
Phone (708) 576-1900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386795698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 E SIBLEY BLVD",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604192648",
            "telephone_number": "708-849-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E SIBLEY BLVD",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604192648",
            "telephone_number": "708-849-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIETRICH",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-849-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dolton, IL

Sources for this page

  • 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.