Dental Magic Touhy, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019024297 Issued in IL

Legal business name

DENTAL MAGIC TOUHY, INC

Practice address

5622 W Touhy Ave
Niles, IL 60714-4001

Phone

(847) 983-4202

NPI assigned

May 31, 2016

Organization subpart

No

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

Authorized official

Name

Sawsan Asfour

Title

Owner

Phone

(847) 983-4202

Specialties & licenses 1

Addresses

Other names 1

• Dental Magic Doing business as

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1659729655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5622 W TOUHY AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144001",
            "telephone_number": "847-983-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5622 W TOUHY AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144001",
            "telephone_number": "847-983-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL MAGIC TOUHY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "ASFOUR",
        "authorized_official_first_name": "SAWSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-983-4202"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Magic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Krueger De Carli, LCSW
• Christina Defilippis, LCSW
• Alison M. Delacruz, APN-CNP
• Deliverance Home Health Care, Inc.
• Dental Magic of Niles
• Dental Perfection
• Dental Specialists of Niles
• Jigar V Desai
• Rahil Desai, DO
• Jessica Devries, M.S., CF-SLP

• General Practice Dentistry in Niles, IL
• Providers in Niles, 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 May 31, 2016; 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.