Paul Maco, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

060009365 Issued in IL

Legal business name

PAUL MACO, D.D.S., P.C.

Doing business as

Main Street Commons Dental Care

Practice address

202 S. Kirk Rd.
St Charles, IL 60174-2429

Phone

(630) 513-6760

Fax

(630) 513-7137

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul R Maco, D.D.S.

Title

Owner

Phone

(630) 513-6760

Specialties & licenses 1

Addresses

Other names 1

• Main Street Commons Dental Care Doing business as

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1447347125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S. KIRK RD.",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742429",
            "telephone_number": "630-513-6760",
            "fax_number": "630-513-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S. KIRK RD.",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742429",
            "telephone_number": "630-513-6760",
            "fax_number": "630-513-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL MACO, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "MACO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-513-6760",
        "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": "060009365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Commons Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vimal Navinchandra Patel, D.O.
• Vipul Patel, RPH
• Yogesh J Patel, D.O.
• Patrick J. Ahern, J.D., L.C.S.W., P.C.
• Coletta Deirdre Patterson
• Christina Joy Paulsen, ALMFT
• Neil Alan Paulsen
• Madison Elizabeth Pautz
• Alec Pawlak, DC
• Pearl of St. Charles, LLC

• General Practice Dentistry in St Charles, IL
• Providers in St Charles, 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 May 19, 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.