Organization Active NPI

Augusta Dental Center LTD

  • Dentist
  • Chicago, IL
National Provider Identifier
1508977646
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AUGUSTA DENTAL CENTER LTD
Practice address
3460 N Lincoln Ave
Chicago, IL 60657-1173
Phone
(773) 549-2800
Fax
(773) 549-4810
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Dr. Stefan J Presszing, DDS
Title
President
Phone
(773) 549-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3460 N Lincoln Ave
Chicago, IL 60657-1173

Mailing address

3460 N Lincoln Ave
Chicago, IL 60657-1173
Phone (773) 549-2800

Other names 1

  • Dr Stefan J Pressling LTD Other name

National Provider Directory

National Provider Directory

Locations

3460 N Lincoln Ave
Chicago, IL 60657
Phone (773) 549-2800

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1508977646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571173",
            "telephone_number": "773-549-2800",
            "fax_number": "773-549-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571173",
            "telephone_number": "773-549-2800",
            "fax_number": "773-549-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA DENTAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "PRESSZING",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-549-2800",
        "authorized_official_name_prefix": "Dr.",
        "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": "Dr Stefan J Pressling LTD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.