Organization Active NPI

Preferred Dental Group, LTD.

  • General Practice Dentistry
  • Evanston, IL
National Provider Identifier
1396957361
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019026750 Issued in IL
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

Updated by the provider on Oct 7, 2010

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.