Fairview Dental Care PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019021165 Issued in IL

Legal business name

FAIRVIEW DENTAL CARE PC

Practice address

6317 Fairview Avenue
Suite #6
Westmont, IL 60559

Phone

(630) 852-5353

Fax

(630) 968-0958

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2008By 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. Thomas William Brzostowski, DDSNPI 1295820108

Title

President

Phone

(630) 852-5353

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Thomas William Brzostowski, DDS

  • General Practice Dentistry
  • Westmont, IL
  • NPI 1295820108
  NPD (past) Authorized official
• Jun Hyeok Jeremiah Choi, DMD

  • General Practice Dentistry
  • Crest Hill, IL
  • NPI 1811371099
  NPD (past)
• Darren Simpson, DDS

  • General Practice Dentistry
  • Westmont, IL
  • NPI 1497873962
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1598850406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 FAIRVIEW AVENUE",
            "address_2": "SUITE #6",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "60559",
            "telephone_number": "630-852-5353",
            "fax_number": "630-968-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 FAIRVIEW AVENUE",
            "address_2": "SUITE #6",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "60559",
            "telephone_number": "630-852-5353",
            "fax_number": "630-968-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "BRZOSTOWSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-852-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019021165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evolve Dentistry P.C.
• Eyecare Center of Dupage, LTD.
• Uchenna Bridget Ezenekwe, FNP-C
• Victoria Faber
• Fairview Dental Care Group P.C.
• Travis Falls, PT, DPT
• Alise Farano
• Amena Fathima
• Jeffrey Mitchell Feinstein, M.D.
• Yan Feng

• General Practice Dentistry in Westmont, IL
• Providers in Westmont, 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 Jul 8, 2008; 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.