Streeterville Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019025503 Issued in IL

Legal business name

STREETERVILLE DENTAL, PC

Doing business as

Streeterville Dental Group

Practice address

233 E Erie St
Suite 602
Chicago, IL 60611-2926

Phone

(312) 337-2212

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott F. Futch, D.D.S.

Title

Owner

Phone

(312) 337-2212

Specialties & licenses 1

Addresses

Other names 1

• Streeterville Dental Group Doing business as

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1649303892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E ERIE ST",
            "address_2": "SUITE 602",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112926",
            "telephone_number": "312-337-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E ERIE ST",
            "address_2": "SUITE 602",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112926",
            "telephone_number": "312-337-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREETERVILLE DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "FUTCH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-337-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Streeterville Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmin Street, APN
• Peyton Street
• Rhay Elliott Street, D.D.S.
• Cynthia Streeter
• Hannah Streeter, CF-SLP
• Streeterville Internal Medicine, PLLC
• Streeterville Open MRI, LLC
• Streeterville Pediatrics, S.C.
• Streeterville Psychotherapy Van Alphen & Thames
• Sarah C Strehlau, PT, DPT, WCS

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Feb 16, 2011; 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.