Harlem Dental LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019 016359 Issued in IL

Legal business name

HARLEM DENTAL LTD.

Practice address

2911 S. Harlem Ave.
Berwyn, IL 60402-2827

Phone

(708) 749-1643

Fax

(708) 749-1797

NPI assigned

Nov 7, 2006

Last updated

Apr 15, 2014By 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

Dr. Patrick F. Leonard, D.D.S.NPI 1790104966

Title

President

Phone

(708) 749-1643

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Leonard, D.D.S.

  • Dentist
  • Berwyn, IL
  • NPI 1790104966
  NPD (past) Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1598834046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 S. HARLEM AVE.",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022827",
            "telephone_number": "708-749-1643",
            "fax_number": "708-749-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 S. HARLEM AVE.",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022827",
            "telephone_number": "708-749-1643",
            "fax_number": "708-749-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEM DENTAL LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-749-1643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019 016359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hammond Dental Group
• Natalie M Hanlon
• Raymond Henry Hanzelin, D.P.M.
• Ingrid Harb
• Avi Ravi Harisingani, MBBS
• Elena Ruta Tijunelis Harris, LCSW
• Ellen Harris, PA
• Latanya A Harris, MSW
• Olivia Hannah Harris
• Harsh Mental Health Wellness S C (Macneal hospital)

• General Practice Dentistry in Berwyn, IL
• Providers in Berwyn, 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 Apr 15, 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.