Progressive Dental and Assoc PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PROGRESSIVE DENTAL AND ASSOC PC

Practice address

3494 Vollmer Road
Olympia Fields, IL 60461

Phone

(708) 747-4294

Fax

(708) 747-5223

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Derell Durr, DMDNPI 1861655631

Title

President Dentist

Phone

(708) 747-4294

Specialties & licenses 1

Addresses

Practitioners 1

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

• Robert Derell Durr, DMD

  • General Practice Dentistry
  • Matteson, IL
  • NPI 1861655631
  NPD (past) Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578680625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3494 VOLLMER ROAD",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "60461",
            "telephone_number": "708-747-4294",
            "fax_number": "708-747-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3494 VOLLMER ROAD",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "60461",
            "telephone_number": "708-747-4294",
            "fax_number": "708-747-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE DENTAL AND ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DURR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DERELL",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "708-747-4294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana Chanell Porter
• Sanjeev Kumar Pradhan, M.D.
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• Prime Healthcare Home Health Care Illinois, LLC
• Samuel Adam Prissel, DO
• Kevin Robert Pugh, DO
• Pulmonary and Sleep Associates Inc.
• Shil Urvish Punatar, D.O.
• Pure Abundant Wellness Center
• Srija Reddy Putta, MBBS

• General Practice Dentistry in Olympia Fields, IL
• Providers in Olympia Fields, 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.