Princeton Family Dentistry, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRINCETON FAMILY DENTISTRY, LTD

Practice address

334 Backbone Rd E
Princeton, IL 61356-9685

Phone

(815) 875-1183

Fax

(815) 879-2603

NPI assigned

Apr 9, 2007

Last updated

Aug 22, 2020By 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. Edward J Monroe, D.D.S.NPI 1962598706

Title

Owner

Phone

(815) 223-6013

Specialties & licenses 1

Addresses

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.

• Edward J Monroe, DDS

  • Dentist
  • La Salle, IL
  • NPI 1962598706
  Authorized official Same address or phone

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629191382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 BACKBONE RD E",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613569685",
            "telephone_number": "815-875-1183",
            "fax_number": "815-879-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 BACKBONE RD E",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613569685",
            "telephone_number": "815-875-1183",
            "fax_number": "815-879-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON FAMILY DENTISTRY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-223-6013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Prince, COTA
• Princeton Chiropractic Center LLC (Princeton Chiropractic Center)
• Princeton Dental Care, LTD.
• Princeton Elem School Dist 115
• Princeton Emergency Services, LLC
• Princeton Family Physicians, S.C.
• Princeton Pharmacy, Inc
• Princeton Physical Therapy, PC
• Princeton Prompt Care LLC
• Princeton TWP High SCH Dis 500

• General Practice Dentistry in Princeton, IL
• Providers in Princeton, 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 Aug 22, 2020; 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.