Jacqueline M Hassenplug DMD, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JACQUELINE M HASSENPLUG DMD, PC

Practice address

100 Illinois St Ste 260
St Charles, IL 60174-1867

Phone

(630) 743-9086

NPI assigned

Jun 19, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline M Hassenplug, DMDNPI 1508438185

Title

President

Phone

(630) 743-9086

Specialties & licenses 1

Addresses

Other names 1

• Smile Haven Dental Studio Doing business as

Locations

Practitioners 1

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

• Jacqueline Marie Hassenplug, DMD

  • General Practice Dentistry
  • Roselle, IL
  • NPI 1508438185
  NPD Authorized official

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1649014234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 CLARE DR",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601088809",
            "telephone_number": "630-743-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ILLINOIS ST STE 260",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741867",
            "telephone_number": "630-743-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE M HASSENPLUG DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "HASSENPLUG",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-743-9086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Haven Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katarina Ivancevic, LPC
• Robert A. Jackman Jr., M. S. LCPC
• Fay E Jackson, LCSW, CADC
• Melissa Jackson, SLP
• Erin Jacobsen, BCBA
• Saima Jalal, M.D.
• Marissa C Jama, DO
• Mykenzie Sarah James, DPT
• Sophia Janicki, DPT
• Douglas V. Janis, D.D.S.

• Dental Clinic/Center in St Charles, IL
• Providers in St Charles, 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 Jun 19, 2024; 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.