Dr. Douglas C. Gee LTD. Dba Archer Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019014846 Issued in IL

Legal business name

DR. DOUGLAS C. GEE LTD. DBA ARCHER DENTAL CARE

Doing business as

Archer Dental Care

Practice address

5200 S Archer Ave
Chicago, IL 60632-4772

Phone

(773) 581-1345

Fax

(773) 581-0013

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Julie A Cassidy

Title

Manager

Phone

(773) 581-1345

Specialties & licenses 1

Addresses

Other names 1

• Archer Dental Care 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.

• Douglas C. Gee, D.D.S.

  • Dentist
  • Chicago, IL
  • NPI 1457410664
  NPD (past)
• Stephanie P. Liss, D.D.S.

  • Dentist
  • Chicago, IL
  • NPI 1497814420
  NPD (past)
• Aliaksandr Shabanovich

  • Dentist
  • Chicago, IL
  • NPI 1164900973
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1487702106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324772",
            "telephone_number": "773-581-1345",
            "fax_number": "773-581-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324772",
            "telephone_number": "773-581-1345",
            "fax_number": "773-581-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DOUGLAS C. GEE LTD. DBA ARCHER DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "CASSIDY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-581-1345",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019014846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Archer Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Jun 11, 2008; 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.