Wang Family Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

019028748 Issued in IL

Legal business name

WANG FAMILY DENTAL, LLC

Doing business as

Prairie Dental Care

Practice address

2424 W Indian TRL Ste D
Aurora, IL 60506-1588

Phone

(630) 907-0330

NPI assigned

Mar 21, 2017

Last updated

Mar 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Wang, DMD

Title

Owner

Phone

(630) 989-6868

Specialties & licenses 1

Addresses

Other names 1

• Prairie Dental Care Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary L. Parkhurst, DDS

  • General Practice Dentistry
  • Aurora, IL
  • NPI 1841369337
  NPD (past)
• Linda M Weglarz, DDS

  • Dentist
  • Aurora, IL
  • NPI 1538284930
  NPD (past)

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1689105744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 ROSINWEED LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605641642",
            "telephone_number": "630-989-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 W INDIAN TRL STE D",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061588",
            "telephone_number": "630-907-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANG FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-989-6868",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Matty Walter
• Craig Walter, PTA
• Florian Walter, CRNA
• Terrance Ronald Walter, RRT, CPFT
• Angela Kathleen Walters, D.C.
• Amy Mai Wang, MD
• Angela Wang, D.M.D.
• Alexus Denise Ward
• Eric Alan Ward, M.S.ED.
• Kelly Ward

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.