Affordable Dentures & Implants - Champaign, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AFFORDABLE DENTURES & IMPLANTS - CHAMPAIGN, P.C.

Practice address

902 Meijer Drive, Suite 6
Champaign, IL 61822-4201

Phone

(217) 607-1431

NPI assigned

Oct 24, 2024

Last updated

Oct 24, 2024By 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

Dibyendu Mehta, DDS

Title

Owner

Phone

(217) 607-1431

Specialties & licenses 1

Addresses

Locations

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.

• Eui Suk Jung, DMD

  • Dentist
  • Champaign, IL
  • NPI 1629732581
  NPD

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1508687286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 MEIJER DRIVE, SUITE 6",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "61822",
            "telephone_number": "217-607-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 MEIJER DRIVE, SUITE 6",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618224201",
            "telephone_number": "217-607-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - CHAMPAIGN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "DIBYENDU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-607-1431",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Medical Transport East Inc. (AMT East)
• Audrey K Aeilts
• Affiliates in Oral & Maxillofacial Surgery LTD
• Affinity Dental Champaign LLC (Affinity Family Dental Champaign)
• Affordable Dentistry Today, PC (Affordable Dentistry Today - Champaign)
• Brandon Aguiar, LSW
• Alyssa M Aguirre
• Maher K Ahmad, M.D.
• Zakiyyah Ahmad, RBT
• Aasma Ahmed, MD

• General Practice Dentistry in Champaign, IL
• Providers in Champaign, 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 Oct 24, 2024; 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.