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Ashton Dental PC

Organization Active NPI General Practice Dentistry · Naperville, IL

NPI 1629614698 · NPPES record last updated Dec 10, 2020

Key facts

NPI
1629614698
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ASHTON DENTAL PC
Practice address
1767 W Ogden Ave Ste 123
Naperville, IL 60540-3956
Phone
(630) 983-2600
Fax
(630) 983-2671
NPI assigned
Nov 25, 2019
Organization subpart
Yes
Parent organization (as reported)
ASHTON DENTAL PC

Authorized official

Name
Sohail Shafi
Title
Manager
Phone
(630) 842-3705

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 5

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

National Provider Directory

Tax ID family
Smile Town Dental (11 organizations share this tax ID)
Part of
Smile Town Dental

Locations

1767 W Ogden Ave
Ste 123
Naperville, IL 60540
Phone (630) 983-2600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

1767 W Ogden Ave Ste 123
Naperville, IL 60540-3956

Mailing address

1730 Park St Ste 106
Naperville, IL 60563-2609
Phone (630) 842-3705

Other names

  • Ogden Dental Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 10, 2020.

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1629614698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 PARK ST STE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632609",
            "telephone_number": "630-842-3705",
            "fax_number": "630-596-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 W OGDEN AVE STE 123",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605403956",
            "telephone_number": "630-983-2600",
            "fax_number": "630-983-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHTON DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASHTON DENTAL PC",
        "enumeration_date": "2019-11-25",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-842-3705"
    },
    "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": "Ogden Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

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Sources for this page

Verify at the official NPI Registry.