Jay William Zvolanek, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19-15920 Issued in IL

Practice address

3080 Ogden Ave
Suite 305
Lisle, IL 60532-1691

Phone

(630) 420-1505

Fax

(630) 420-7502

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jay William Zvolanek Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477579886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 OGDEN AVE",
            "address_2": "SUITE 305",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321691",
            "telephone_number": "630-420-1505",
            "fax_number": "630-420-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 OGDEN AVE",
            "address_2": "SUITE 305",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321691",
            "telephone_number": "630-420-1505",
            "fax_number": "630-420-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZVOLANEK",
        "first_name": "JAY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19-15920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "ZVOLANEK",
            "middle_name": "WILLIAM",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Yan Zhou
• Zofia Cygan M.D.SC
• Zoha Medical Consulting, LLC
• Lisa Zola, MS, MSN, APRN-BC
• Alexander Zubenko, LCPC

• General Practice Dentistry in Lisle, IL
• Providers in Lisle, 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 Jul 8, 2007; 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.