Northbrook Dental Care, LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTHBROOK DENTAL CARE, LTD.

Practice address

1135 Church St
Northbrook, IL 60062-3601

Phone

(847) 205-9337

NPI assigned

Mar 22, 2007

Last updated

Aug 30, 2007By 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

Dr. Timothy Tishler, D.D.S.

Title

President

Phone

(847) 205-9337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1497871974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 CHURCH ST",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CHURCH ST",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623601",
            "telephone_number": "847-205-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBROOK DENTAL CARE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "TISHLER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-205-9337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Northbrook, IL
• Providers in Northbrook, 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 Aug 30, 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.