Farmington Lakes Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019025947 Issued in IL

Legal business name

FARMINGTON LAKES DENTAL

Practice address

1241 Farmington Lakes Dr
Oswego, IL 60543-5109

Phone

(331) 212-5085

NPI assigned

Nov 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kabil Chunprapaph, D.M.D.

Title

President

Phone

(331) 212-5085

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1351900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351900800000",
    "number": "1437403029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 FARMINGTON LAKES DR",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605435109",
            "telephone_number": "331-212-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 FARMINGTON LAKES DR",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605435109",
            "telephone_number": "331-212-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON LAKES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-03",
        "last_updated": "2012-11-03",
        "status": "A",
        "authorized_official_last_name": "CHUNPRAPAPH",
        "authorized_official_first_name": "KABIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "331-212-5085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019025947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianna M Espino
• Hank Exline
• Atif Fakhruddin, MD
• Family Counseling Service of Aurora
• Family Counseling Service of Aurora
• McKayla P Fata, MSW, LSW, LCSW
• Cindy A. Wagner Fischer, LCPC, NCC
• Kathryn Elyse Fish, LMFT
• Jennifer Lee Flammersfeld
• Steven Flannagan, IDC

• Dental Clinic/Center in Oswego, IL
• Providers in Oswego, 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 Nov 3, 2012; 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.