Quintessential Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

QUINTESSENTIAL DENTAL

Doing business as

Happy Tooth

Practice address

130 N Addison Ave
Elmhurst, IL 60126

Phone

(630) 834-4140

NPI assigned

Apr 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Maggie W Augustyn, DDS

Title

Dentist/President

Phone

(630) 834-4140

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Happy Tooth Doing business as

Tax ID family

Happy Tooth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Quintessential Dental

  dba Happy Tooth

  • General Practice Dentistry
  • Elmhurst, IL
  • NPI 1598927733
  NPD tax ID

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1427222520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ADDISON AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "630-834-4141",
            "fax_number": "630-834-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N ADDISON AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "630-834-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTESSENTIAL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "AUGUSTYN",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "630-834-4140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9185625",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9815623",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Tooth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariko Pusinelli, FNP-BC
• Jennifer Quam, MD
• Lisa Quanz, M.A., CCC-SLP
• Matthew Quinn, LPC
• Pablo Nicolas Quintana, M.D.
• Quintessential Dental (Happy Tooth)
• Amal Qureshi, MD
• Firas Qureshi
• R-P-W Obstetrics & Gynecology, S.C.
• Corina Radu, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.