Avid Dental Lindenhurst, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AVID DENTAL LINDENHURST, LLC

Practice address

2246 E. Grand Ave
Lake Villa, IL 60046

Phone

(847) 265-6444

Fax

(847) 265-6464

NPI assigned

Mar 11, 2010

Organization subpart

No

Name

Meenal L Goel, DDSNPI 1679517221

Title

Owner/President

Phone

(847) 530-2828

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

• Meenal L Goel, D,D,S

  • Dentist
  • Mt Prospect, IL
  • NPI 1679517221
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2019.

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1609199165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 E. GRAND AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "60046",
            "telephone_number": "847-265-6444",
            "fax_number": "847-265-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 E. GRAND AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "60046",
            "telephone_number": "847-265-6444",
            "fax_number": "847-265-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVID DENTAL LINDENHURST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "GOEL",
        "authorized_official_first_name": "MEENAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "847-530-2828",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allendale Association
• Allendale Association
• American Homecare LLC
• Stephanie Ashmore, LPC
• Areej Assad
• Abigail Badgley, OT
• Najmulsahar A Baig, ENDT
• Rasheed Mirza Baig
• Kendall Barber, PT, DPT
• Janet S Barney, APNP

• All providers in Lake Villa, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.