Las Dental Center LTD

Primary specialty

DentistTaxonomy code 122300000X

License

019.027184 Issued in IL

Legal business name

LAS DENTAL CENTER LTD

Practice address

425 E Irving Park Rd
Wood Dale, IL 60191-1639

Phone

(630) 595-2880

Fax

(630) 595-5992

NPI assigned

Mar 20, 2015

Last updated

Mar 20, 2015By 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

Amee Shah

Title

Dentist

Phone

(630) 595-2880

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1588058127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E IRVING PARK RD",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911639",
            "telephone_number": "630-595-2880",
            "fax_number": "630-595-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E IRVING PARK RD",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911639",
            "telephone_number": "630-595-2880",
            "fax_number": "630-595-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS DENTAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AMEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-595-2880"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.027184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benita S. Kiamco, M.D.
• Timothy John Kiczenski, D.D.S.
• Alexanna K. Kubler, M.S., CF-SLP
• Landon Barrett Lacey, M.S.
• Nann Lang, LAC
• Laser Vein Institute SC
• Robert A Lasica, LCSW
• Lerias & Quesea DDS PC
• Dale E. Liaugminas, M.D.
• Liza Marie G. Saviano, DPM

• Dentist in Wood Dale, IL
• Providers in Wood Dale, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.