Dental Health Center LTD

Primary specialty

DentistTaxonomy code 122300000X

License

019023845 Issued in IL

Legal business name

DENTAL HEALTH CENTER LTD

Practice address

2413 S State St
Chicago, IL 60616-2311

Phone

(312) 949-9000

NPI assigned

Mar 9, 2010

Last updated

Mar 9, 2010By 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

Mr. Faizan Mir

Title

Manager

Phone

(312) 949-9000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1578886248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162311",
            "telephone_number": "312-949-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162311",
            "telephone_number": "312-949-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "MIR",
        "authorized_official_first_name": "FAIZAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-949-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019023845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.