Advanced Dental Group LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ADVANCED DENTAL GROUP LLC

Doing business as

Advanced Dental Concepts of Winfield

Practice address

10780 Randolph St
Crown Point, IN 46307-7615

Phone

(219) 663-6579

Fax

(219) 663-5085

NPI assigned

Aug 28, 2007

Last updated

Jun 19, 2008By 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. Kim A Kessler, DDSNPI 1003908385

Title

Partner

Phone

(219) 663-6579

Specialties & licenses 1

Addresses

Other names 1

• Advanced Dental Concepts of Winfield Doing business as

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.

• Kim Allen Kessler, DDS

  • General Practice Dentistry
  • Crown Point, IN
  • NPI 1003908385
  Authorized official Same address or phone

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1497949044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 RANDOLPH ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077615",
            "telephone_number": "219-663-6579",
            "fax_number": "219-663-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 RANDOLPH ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077615",
            "telephone_number": "219-663-6579",
            "fax_number": "219-663-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "219-663-6579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Concepts of Winfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Advocare, LLC

• Dental Clinic/Center in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.