Valley Dental Care of Plainfield

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019026612 Issued in IL

Legal business name

VALLEY DENTAL CARE OF PLAINFIELD

Practice address

2356 S Route 59
Plainfield, IL 60586-7756

Phone

(630) 436-6800

NPI assigned

Feb 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Samantha Kothapalli, DMD

Title

Owner

Phone

(630) 803-6431

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1447572003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 ORCHARD RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605435005",
            "telephone_number": "630-551-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 S ROUTE 59",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605867756",
            "telephone_number": "630-436-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DENTAL CARE OF PLAINFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "KOTHAPALLI",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-803-6431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jerome Uthupan, DPT
• Anais Valladares, RBT
• Courtney Diane Van Duyne
• Lisa Marie Van Dyke, LCPC
• Lynette W Van Meter, LCSW
• Kassidy Vanmerkestyn, LPC
• McKai Vann

• General Practice Dentistry in Plainfield, IL
• Providers in Plainfield, 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 Feb 24, 2010; 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.