American Family Dental Care P.C

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AMERICAN FAMILY DENTAL CARE P.C

Practice address

4209.St.Charles Road
Bellwood, IL 60104

Phone

(708) 547-1100

Fax

(708) 547-1149

NPI assigned

Jun 4, 2007

Last updated

Mar 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sethurama Muthuramaswami, DDSNPI 1750450128

Title

President

Phone

(708) 547-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sethurama Muthuramaswami, DDS

  • Dentist
  • Bellwood, IL
  • NPI 1750450128
  Authorized official Same address or phone

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1649472333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209.ST.CHARLES ROAD",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "60104",
            "telephone_number": "708-547-1100",
            "fax_number": "708-547-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209.ST.CHARLES ROAD",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "60104",
            "telephone_number": "708-547-1100",
            "fax_number": "708-547-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FAMILY DENTAL CARE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "MUTHURAMASWAMI",
        "authorized_official_first_name": "SETHURAMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-547-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003292",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.