Dental Health Professionals of Illinois, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL HEALTH PROFESSIONALS OF ILLINOIS, P.C.

Practice address

1431 McHenry Rd Ste 108
Buffalo Grove, IL 60089-1378

Phone

(847) 808-0505

NPI assigned

Jul 2, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Krista Buie

Title

Senior Credentialing Coordinator

Phone

(217) 670-6979

Specialties & licenses 1

Addresses

Other names 1

• Modern Dentistry Doing business as

Locations

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1609438464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 MCHENRY RD STE 108",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 MCHENRY RD STE 108",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891378",
            "telephone_number": "847-808-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH PROFESSIONALS OF ILLINOIS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "BUIE",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-670-6979"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivelisse Del Valle
• Papa Win Delacruz, M.D.
• Sue Deluca, LCSW
• Molly Cathryn Delzer, PA-C
• Gabriella Jane Demchenko
• Stephen Denton, PT
• Emalee Depa
• Derick Dermatology, PLLC
• Sandra Derks, LCPC
• Parita Desai, PHARM D

• General Practice Dentistry in Buffalo Grove, IL
• Providers in Buffalo Grove, 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 31, 2023; 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.