Aurora L Ciceovan DDS,PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019024038 Issued in IL

Legal business name

AURORA L CICEOVAN DDS,PC

Practice address

1530 E Dundee Rd
Suite 300
Palatine, IL 60074-8325

Phone

(847) 358-8080

NPI assigned

Mar 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Aurora L Ciceovan, DDSNPI 1538109996

Title

President

Phone

(847) 358-8080

Specialties & licenses 1

Addresses

Locations

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

• Aurora L Ciceovan, D,D,S

  • General Practice Dentistry
  • Palatine, IL
  • NPI 1538109996

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1528485000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 KENNICOTT PL",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564072",
            "telephone_number": "847-806-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E DUNDEE RD",
            "address_2": "SUITE 300",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600748325",
            "telephone_number": "847-358-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA L CICEOVAN DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "CICEOVAN",
        "authorized_official_first_name": "AURORA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-358-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Palatine, IL
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.