Precision Dental Care 2, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRECISION DENTAL CARE 2, LLC

Practice address

5317 W Cermak Rd
Cicero, IL 60804-2817

Phone

(708) 222-8505

NPI assigned

May 1, 2009

Organization subpart

No

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

Authorized official

Name

Randy Chang

Title

Member

Phone

(708) 222-8505

Specialties & licenses 1

Addresses

Tax ID family

Precision Dental Care2 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.

• Precision Dental Care 2, LLC

  • Dentist
  • Chicago, IL
  • NPI 1518280759
  NPD tax ID

Locations

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1447494646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4352 W DIVERSEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606392070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042817",
            "telephone_number": "708-222-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DENTAL CARE 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "708-222-8505"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizeth Pimentel
• Aryn Nicole Pittman, D.D.S.
• Begona Tania Poliakoff
• Alvina Ponder, B.S.
• Potach-Moon Podiatry Group, LLC
• Premier Urgent Care LLC
• Primary Health Care Specialists S.C
• Procare Dental Group P.C.
• Audra Chafone Prowell
• Alberto Quiroz, PHYSICAL THERAPY A

• General Practice Dentistry in Cicero, IL
• Providers in Cicero, 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 1, 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.