Glendale Heights Dental P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019028336 Issued in IL

Legal business name

GLENDALE HEIGHTS DENTAL P.C.

Doing business as

Glendale Heights Family Dental

Practice address

1177 Bloomingdale Rd Ste B
Glendale Heights, IL 60139-3402

Phone

(630) 866-6000

Fax

(630) 949-2187

NPI assigned

Mar 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Bhumika Shah Patel, DDS

Title

President

Phone

(630) 866-6000

Specialties & licenses 1

Addresses

Other names 1

• Glendale Heights Family Dental Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lyla H Azzam, DDS

  • Dentist
  • Glendale Heights, IL
  • NPI 1255968368

  Single Specialty

  NPD (past)
• Tanvi Arora Bakshi, DMD

  • General Practice Dentistry
  • Algonquin, IL
  • NPI 1578125597
  NPD (past)
• Mrunal Shah, DMD

  • General Practice Dentistry
  • Glendale Heights, IL
  • NPI 1417639709
  NPD (past)

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1447644828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 BLOOMINGDALE RD STE B",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601393402",
            "telephone_number": "630-866-6000",
            "fax_number": "630-949-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 BLOOMINGDALE RD STE B",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601393402",
            "telephone_number": "630-866-6000",
            "fax_number": "630-949-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE HEIGHTS DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHUMIKA",
        "authorized_official_middle_name": "SHAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-866-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendale Heights Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathy Gao
• Callie Geeslin, PA-C
• Maher Ghattas, D.C.
• Lonnie Givens
• Glen Oaks Anesthesiologists, SC
• Glenside Fire Protection District
• Glenwood Dental PC (Glenwood Dental Care)
• Aaron Go, APRN
• Melissa Gonzalez
• Grace Pediatrics LLC

• General Practice Dentistry in Glendale Heights, IL
• Providers in Glendale Heights, 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 Mar 24, 2015; 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.