Amdental Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AMDENTAL INC

Doing business as

lifetime dental

Practice address

1421 N Lewis Ave
Waukegan, IL 60085-1757

Phone

(415) 890-6337

NPI assigned

Jun 12, 2018

Last updated

Jun 12, 2018By 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. Annie Mirza, DDSNPI 1801271317

Title

Owner

Phone

(415) 890-6337

Specialties & licenses 1

Addresses

Other names 1

• lifetime dental Doing business as

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.

• Annie Mirza, DDS

  • Dentist
  • Waukegan, IL
  • NPI 1801271317
  Authorized official Same address or phone

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1417440611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5845 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 N LEWIS AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600851757",
            "telephone_number": "415-890-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMDENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-890-6337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lifetime dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alpesh Corporation (Waukegan Immediate Care)
• Alsahlani and Albazzaz Dental
• Eman J Alsahlani, D.M.D.
• Cristina Alvarez
• Jennifer Amado Mack
• America's Best Contacts & Eyeglasses
• American Current Care of Illinois PC (Concentra Immediate Care)
• American Drug Stores LLC (Osco Drug #4516)
• American Drug Stores LLC (Osco Drug #1424)
• Samuel K Amponsah, PT

• Dentist in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.