Jeffery Dental Center

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JEFFERY DENTAL CENTER

Practice address

7615 S Jeffery Blvd
Chicago, IL 60649-4015

Phone

(773) 374-9900

Fax

(773) 374-9422

NPI assigned

Oct 11, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristine M Kowalski

Title

Office Manager

Phone

(773) 374-9900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Minh Trang Ngoc Vu, DDS

  • Dentist
  • Chicago, IL
  • NPI 1205924362
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457449571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 S JEFFERY BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606494015",
            "telephone_number": "773-374-9900",
            "fax_number": "773-374-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 S JEFFERY BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606494015",
            "telephone_number": "773-374-9900",
            "fax_number": "773-374-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-374-9900"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Bishop Jefferson, APN-CNP
• Faith Jefferson
• Janelle Jefferson, L.AC
• Persell Jefferson
• Tammi Jefferson, OTR/L
• Jeffrey a Arnold, DDS, PC
• Jeffrey a. Perman,D.D.S.,P.C.
• Jeffrey a. Seiden, Psy.D., LLC.
• Jeffrey a. Weller, DDS, PC
• Jeffrey E Karaban (Jeffrey E Karaban MD & Associates)

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.