New Avenue Dental Associates PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NEW AVENUE DENTAL ASSOCIATES PC

Doing business as

AV Dental of Woodridge PC

Practice address

7546 Janes Ave
Woodridge, IL 60517-2926

Phone

(630) 985-9787

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Jeffery Saffold, DDS

Title

Owner

Phone

(815) 210-3030

Specialties & licenses 1

Addresses

Other names 1

• AV Dental of Woodridge PC Doing business as

Tax ID family

Av Dental of Woodridge PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New Avenue Dental Associates PC

  • Dentist
  • Woodridge, IL
  • NPI 1518630185
  NPD tax ID

Locations

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1508532730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22548 N PEBBLE LAKE CT",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238975",
            "telephone_number": "815-210-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7546 JANES AVE",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172926",
            "telephone_number": "630-985-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AVENUE DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "SAFFOLD",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-210-3030",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AV Dental of Woodridge PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Alan Nelson, RN
• Venus Denise Nelson, OTR/L
• Vickie Susan Nelson, RN
• Eldwin Neritani
• Melina Nestel
• New Avenue Dental Associates PC
• Christine Nielsen, LMT, MMP
• Jonathon Niemeyer
• Lalitha Nithyanandam
• Laura Nolden

• Dentist in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.