Thomas C Pomierski DDS John S Sullivan DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THOMAS C POMIERSKI DDS JOHN S SULLIVAN DDS

Doing business as

Mundelein Dental Care

Practice address

328 N Lake Street
Mundelein, IL 60060

Phone

(847) 566-5560

Fax

(847) 566-1311

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Linda A Walsh

Title

Administrative

Phone

(847) 566-5560

Specialties & licenses 1

Addresses

Other names 1

• Mundelein Dental Care Doing business as

Locations

Practitioners 2

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

• Thomas C Pomierski

  • General Practice Dentistry
  • Mundelein, IL
  • NPI 1710005798
  NPD (past)
• John S Sullivan, DDS

  • General Practice Dentistry
  • Mundelein, IL
  • NPI 1457471633
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548393598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 N LAKE STREET",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "60060",
            "telephone_number": "847-566-5560",
            "fax_number": "847-566-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N LAKE STREET",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "60060",
            "telephone_number": "847-566-5560",
            "fax_number": "847-566-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C POMIERSKI DDS JOHN S SULLIVAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATIVE",
        "authorized_official_telephone_number": "847-566-5560",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mundelein Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suburban Medical Associates, S.C.
• John S Sullivan, DDS
• Kelly Sviatko, IBCLC
• Zubin S Tantra, PT, FAAOMPT
• Jose Luis Tapia Jr., DMD, BDS
• Cassandra Thomas, RPH
• Michelle S Thompson, CCC-SLP
• Thy & Associates, Inc. (Smile Center of Dr. Yong)
• Town Line Dental Care
• Transitional Care of Lake County, LLC (Thrive Lake County)

• General Practice Dentistry in Mundelein, IL
• Providers in Mundelein, 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 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.