David P. Potts, DDS, LTD

Primary specialty

DentistTaxonomy code 122300000X

License

019.014658 Issued in IL

Legal business name

DAVID P. POTTS, DDS, LTD

Doing business as

Lake County Family Dental Care

Practice address

1298 S. Milwaukee Ave.
Libertyville, IL 60048

Phone

(847) 362-6540

Fax

(847) 362-6544

NPI assigned

Dec 7, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Whitney M Booth

Title

Chief Operations Officer

Phone

(847) 362-6540

Specialties & licenses 1

Addresses

Other names 1

• Lake County Family Dental Care Doing business as

Locations

Practitioners 2

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

• David P Potts, D.D.S.

  • General Practice Dentistry
  • Libertyville, IL
  • NPI 1831130475
  NPD
• Ola R Mahmood, D.M.D.

  • Dentist
  • Libertyville, IL
  • NPI 1437501301
  NPD (past)

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1659746303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1298 S. MILWAUKEE AVE.",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "847-362-6540",
            "fax_number": "847-362-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 S. MILWAUKEE AVE.",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "847-362-6540",
            "fax_number": "847-362-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P. POTTS, DDS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "847-362-6540",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.014658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake County Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darko Wellness Inc
• Darko Wellness Inc
• Darko Wellness Inc
• Aisha Agyeiwaa Darko, FNP
• David Gray P.C.
• Deborah Davis, SLP
• Jordan Davis, DC
• Megan Davis, MD
• Fiona Catherine Davoren
• Elizabeth Anne Day, M.A, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.