United Dental Group PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

UNITED DENTAL GROUP PLLC

Practice address

50 Marion LN
Streamwood, IL 60107-6664

Phone

(847) 620-9864

NPI assigned

Apr 22, 2021

Organization subpart

No

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

Authorized official

Name

Munir Gomaa, DMD

Title

Owner

Phone

(847) 620-9864

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1669054375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MARION LN",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601076664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MARION LN",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601076664",
            "telephone_number": "847-620-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "GOMAA",
        "authorized_official_first_name": "MUNIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-620-9864",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy L Torgerson, IBCLC, RLC
• Angelica V Tran, MSN, APRN, FNP-BC
• Douglas A Traven, D.C.
• Victoria Chau Trieu
• Neva Tuzzolino, DT
• Kristin Uryasz
• Usrc Streamwood LLC (U.S. Renal Care Streamwood Dialysis)
• Caroline Beth Valdez, APRN
• Heidi Valerio, M.S.
• Kristopher Grey Van Meter, LCPC

• General Practice Dentistry in Streamwood, IL
• Providers in Streamwood, 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 Apr 22, 2021; 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.