Ashley Family Dental, LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ASHLEY FAMILY DENTAL, LTD.

Practice address

2504 Washington St
Ste #503
Waukegan, IL 60085-4983

Phone

(847) 244-0414

Fax

(847) 244-3104

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joo H Kwon, DDS

Title

Owner

Phone

(847) 244-0414

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Ashley Family Dental LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ashley Family Dental, LTD

  • General Practice Dentistry
  • Waukegan, IL
  • NPI 1902010317
  NPD tax ID

Locations

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1669645958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 WASHINGTON ST",
            "address_2": "STE #503",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854983",
            "telephone_number": "847-244-0414",
            "fax_number": "847-244-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 WASHINGTON ST",
            "address_2": "STE #503",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854983",
            "telephone_number": "847-244-0414",
            "fax_number": "847-244-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY FAMILY DENTAL, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "JOO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-244-0414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182486",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greg Arty
• Lisa Paulina Aruguete, LMT
• Liliana Ashbacher, MA
• Karyn Ruth Ashby
• Ashley Family Dental, LTD
• Jon Ashworth
• Carol Asma, RN
• Aspyre of Waukegan LLC
• Associates in Behavioral Health S C
• Eugenia Astudillo Arcos, LSW

• General Practice Dentistry in Waukegan, IL
• Providers in Waukegan, 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 8, 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.