Summerset Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUMMERSET DENTAL CARE

Practice address

3612 Lincoln Hwy
Suite 18
Olympia Fields, IL 60461-1627

Phone

(708) 747-1430

Fax

(708) 747-9426

NPI assigned

Jan 10, 2007

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

Dr. Agarwal K Agarwal, D.D.S.

Title

Owner

Phone

(708) 747-1430

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.

• Andrew J Wang, DDS

  • Dentist
  • Olympia Fields, IL
  • NPI 1790904290
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407905169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 LINCOLN HWY",
            "address_2": "SUITE 18",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611627",
            "telephone_number": "708-747-1430",
            "fax_number": "708-747-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 LINCOLN HWY",
            "address_2": "SUITE 18",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611627",
            "telephone_number": "708-747-1430",
            "fax_number": "708-747-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERSET DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "AGARWAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-747-1430",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aswath Subram, M.D.
• Suburban Radiation Oncology SC
• Suburban Visiting Physicians Group, LLC
• Kristen Sullivan
• Dymond Sulyman, NP
• Ravi K Sundaram, D.O.
• Supplemental Therapy Services Inc
• Heather M Sutton, PHARMD
• Cecile Marie Anne Swift, DO
• Yahiya Syed, MD

• General Practice Dentistry in Olympia Fields, IL
• Providers in Olympia Fields, 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.