Yorkville Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

YORKVILLE DENTAL

Practice address

624 W. Veterans Pkwy
Suite C
Yorkville, IL 60560-0000

Phone

(630) 553-8664

Fax

(630) 553-8665

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Amy Smith

Title

VP of Operations

Phone

(630) 357-3333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1639237266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W. VETERANS PKWY",
            "address_2": "SUITE C",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605600000",
            "telephone_number": "630-553-8664",
            "fax_number": "630-553-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W. VETERANS PKWY",
            "address_2": "SUITE C",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605600000",
            "telephone_number": "630-553-8664",
            "fax_number": "630-553-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORKVILLE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "630-357-3333"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Song-En Wu, DMD
• Jessica Lynn Wyatt, SLP
• Haohua I Yang, MD
• York Towne Dental
• Yorkville Care Center LLC (Hillside Rehabilitation & Care Center)
• Yorkville Dialysis Center, LLC
• Yorkville Imaging LLC
• Yorkville Medical Clinic, S.C.
• Yorkville Physical Therapy and Sports Medicine Center, LLC (Atlas Physical Therapy & Sports Medicine)
• Yorkville School District #115

• Dentist in Yorkville, IL
• Providers in Yorkville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.