Roselle Dental Center PC

Primary specialty

DentistTaxonomy code 122300000X

License

019017668 Issued in IL

Legal business name

ROSELLE DENTAL CENTER PC

Practice address

603 E Irving Park Rd
Roselle, IL 60172-2302

Phone

(630) 893-4200

Fax

(630) 893-4508

NPI assigned

Jul 7, 2005

Last updated

Sep 24, 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. Harvey G Seybold, DDSNPI 1508087446

Title

Practice Owner

Phone

(630) 893-4200

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Harvey G Seybold, DDS

  • General Practice Dentistry
  • Roselle, IL
  • NPI 1508087446
  NPD (past) Authorized official
• Peter Sung Jong Chang, D.D.S.

  • General Practice Dentistry
  • Roselle, IL
  • NPI 1053320606
  NPD (past)
• Jacqueline Marie Hassenplug, DMD

  • General Practice Dentistry
  • Roselle, IL
  • NPI 1508438185
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1518964402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E IRVING PARK RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722302",
            "telephone_number": "630-893-4200",
            "fax_number": "630-893-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E IRVING PARK RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722302",
            "telephone_number": "630-893-4200",
            "fax_number": "630-893-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELLE DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "SEYBOLD",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "630-893-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019017668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reinforce Health & Wellness, P.C.
• Sylvia Virginia Rodriguez
• Rophe Wound Care PLLC
• Rose of Sharon MC LLC
• Roselle Chiropractic Inc
• Roselle Physical Medicine Group
• Roselle Physical Medicine Group
• Roselle School Dist 12
• Roselle Service Company LLC (Integrated Physical Medicine of Roselle)
• Royal Marketing and Lead Generation

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.