Paldental Group, PC

Primary specialty

DentistTaxonomy code 122300000X

License

019022659 Issued in IL

Legal business name

PALDENTAL GROUP, PC

Practice address

1890 Silver Cross Blvd
Suite 470
New Lenox, IL 60451-9508

Phone

(815) 717-8793

Fax

(815) 717-8796

NPI assigned

Apr 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Aroon Pal, DMD

Title

President

Phone

(815) 717-8793

Specialties & licenses 1

Addresses

Other names 1

• lifetime family dental,pc Doing business as

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1487911624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "SUITE 470",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519508",
            "telephone_number": "815-717-8793",
            "fax_number": "815-717-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "SUITE 470",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519508",
            "telephone_number": "815-717-8793",
            "fax_number": "815-717-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALDENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "PAL",
        "authorized_official_first_name": "AROON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-717-8793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019022659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lifetime family dental,pc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher David Pagliarulo, PT
• Aparna U. Pai, M.D.
• Pain Management Associates USA
• Jonathan Pajak
• Veronica Casimer Paladin, LCSW
• Sybil Palmer
• Sujal V Panchal, M.D.
• Lindsey M Paprocki, PT
• Stacey Lynn Paprocki
• Amit Dhiru Parekh, MD

• Dentist in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.