Pioneer Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

019027247 Issued in IL

Legal business name

PIONEER DENTAL CORP

Practice address

1022 N Northwest Hwy
Park Ridge, IL 60068-1831

Phone

(847) 292-8200

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Luma Walid Naim, DDS

Title

President

Phone

(847) 292-8200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1710135736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY",
            "address_2": "SUITE 230",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683263",
            "telephone_number": "847-292-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 N NORTHWEST HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681831",
            "telephone_number": "847-292-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "NAIM",
        "authorized_official_first_name": "LUMA",
        "authorized_official_middle_name": "WALID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-292-8200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Piekos
• Bruce William Pielet, M.D
• Hudson Pierce
• Sarah Anne Pierotti, DO
• Michael Robert Pins, M.D.
• Anna Piotrowski, M.D.
• Patrick McGovern Piper, M.D.
• Jenessa Lucia Piscopo, APN
• Myriah Pitt
• Carolyn E Schaefer Placko, LCSW

• Dentist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.