Semper Dental Center LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019027752 Issued in IL

Legal business name

SEMPER DENTAL CENTER LLC

Practice address

9714 Franklin Ave
Franklin Park, IL 60131-1787

Phone

(773) 732-3408

Fax

(773) 925-9289

NPI assigned

Aug 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Victor Hugo Rendon Jr., DDS

Title

President

Phone

(630) 991-0437

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LLC Doing business as

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1407087729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9714 FRANKLIN AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601311787",
            "telephone_number": "773-732-3408",
            "fax_number": "773-925-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9714 FRANKLIN AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601311787",
            "telephone_number": "773-732-3408",
            "fax_number": "773-925-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMPER DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "RENDON",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "HUGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-991-0437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019027752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9219530",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Magdalena Rozowicz, DT
• Emilia Saber, BFA, MHP
• Engjellush Sadik
• Catrina Sanfilippo
• Marie Scholl
• Bruce Sewick, LCPC, RDDP, CADC
• Shalvi Rutul Shah
• Shining Smiles Franklin Park Inc.
• Anthony John Sikora
• Stanley Simon, MD

• Dental Clinic/Center in Franklin Park, IL
• Providers in Franklin Park, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.