Meadow Lake Dental Care P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MEADOW LAKE DENTAL CARE P.C.

Practice address

3941 75TH St
Suite 102
Aurora, IL 60504-7913

Phone

(630) 851-5130

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul V Rickard, DDS

Title

President

Phone

(630) 851-5130

Specialties & licenses 1

Addresses

Other names 1

• Meadow Lake Dental Care Doing business as

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669696456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 75TH ST",
            "address_2": "SUITE 102",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047913",
            "telephone_number": "630-851-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 75TH ST",
            "address_2": "SUITE 102",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047913",
            "telephone_number": "630-851-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW LAKE DENTAL CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICKARD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-851-5130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadow Lake Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassie McLaughlin
• Cathy McMillan, PTA
• Denika McMillen, LCSW
• Michelle Marie McMullin, L.C.P.C.
• Darryl John McNeil, PT,MTC
• Meadow Lake Dental LLC
• Meals Delivered With Care
• Christina Mecca, M.A., CCC-SLP
• Medical Care Associates Inc
• Medlab Professionals LLC

• General Practice Dentistry in Aurora, IL
• Providers in Aurora, 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 Aug 22, 2020; 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.