Maywood Dental Excellence

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MAYWOOD DENTAL EXCELLENCE

Practice address

1409 S 5TH Ave
Maywood, IL 60153-2128

Phone

(708) 865-2225

Fax

(708) 865-2282

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

D. Mike Cvetkovic, D.D.S.

Title

Dentist

Phone

(708) 865-2225

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528274461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 S 5TH AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601532128",
            "telephone_number": "708-865-2225",
            "fax_number": "708-865-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 S 5TH AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601532128",
            "telephone_number": "708-865-2225",
            "fax_number": "708-865-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYWOOD DENTAL EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CVETKOVIC",
        "authorized_official_first_name": "D. MIKE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "708-865-2225",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Mikulan Maxfield, DO
• Tracey Hydrick May
• Natasha Romila Mayer
• Ryan Franklin Mayhew, MD
• Maywood Community Pharmacy LLC
• Maywood Family Dental, LTD
• Maywood Melrose Broadview 89
• Maywood Pharmacy Inc
• Maywood SLF I LP
• Alaleh Mazhari, D.O.

• Dental Clinic/Center in Maywood, IL
• Providers in Maywood, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.