Four Seasons Dental Studio

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FOUR SEASONS DENTAL STUDIO

Practice address

2472 W. Foster Ave.
Suite 101
Chicago, IL 60625

Phone

(773) 220-8381

Fax

(773) 334-9928

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kiet H Lam, DDSNPI 1275787285

Title

President

Phone

(773) 334-9922

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kiet H Lam, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1275787285
  NPD (past) Authorized official

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1497958698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 W FOSTER AVE",
            "address_2": "SUITE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256962",
            "telephone_number": "773-220-8381",
            "fax_number": "773-334-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 W. FOSTER AVE.",
            "address_2": "SUITE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60625",
            "telephone_number": "773-220-8381",
            "fax_number": "773-334-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "KIET",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-334-9922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Jean Fountain, CPNP-PC
• Samantha Fountain
• Ioannis Kyriakos Fountas, PHARMD
• Four Flowers Wellness
• Four on the Floor
• Jacques Fourcand, M.D.
• Maria Fournaris, RDN, LDN
• Chelsea Leigh Fournier
• Cody Fournier, LICSW
• John Harry Fournier, MD

• 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 Sep 5, 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.