Active NPI
Preferred Dental Group, LTD.
- General Practice Dentistry
- Evanston, IL
National Provider Identifier
1396957361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019026750
- Legal business name
- PREFERRED DENTAL GROUP, LTD.
- Practice address
- 1029 Howard St Ste 203
Evanston, IL 60202-3877 - Phone
- (847) 491-0660
- Fax
- (847) 869-5858
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter A Contos, D.D.S.
- Title
- President
- Phone
- (847) 491-0660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019026750 | IL | Primary |
Addresses
Primary practice location
1029 Howard St Ste 203
Evanston, IL 60202-3877
Mailing address
191 Enid LN
Northfield, IL 60093-3128
Phone (847) 446-9429
National Provider Directory
National Provider DirectoryLocations
1029 Howard St
Ste 203
Evanston, IL 60202
Phone (847) 491-0660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286409600000",
"number": "1396957361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 ENID LN",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600933128",
"telephone_number": "847-446-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 HOWARD ST STE 203",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023877",
"telephone_number": "847-491-0660",
"fax_number": "847-869-5858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED DENTAL GROUP, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2010-10-07",
"status": "A",
"authorized_official_last_name": "CONTOS",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-491-0660",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019026750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.