Attainable Smiles Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019030727 Issued in IL

Legal business name

ATTAINABLE SMILES DENTAL

Practice address

1124 Bloomingdale Rd
Glendale Heights, IL 60139-3498

Phone

(630) 260-9898

NPI assigned

Jan 31, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Tommy John Castillo Sagadraca, DMD

Title

Owner

Phone

(630) 260-9898

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1639677040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 BLOOMINGDALE RD",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601393498",
            "telephone_number": "630-260-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 BLOOMINGDALE RD",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601393498",
            "telephone_number": "630-260-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTAINABLE SMILES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "SAGADRACA",
        "authorized_official_first_name": "TOMMY JOHN",
        "authorized_official_middle_name": "CASTILLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-260-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019030727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Glendale Heights, IL
• Providers in Glendale Heights, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.