Squaw Grove Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SQUAW GROVE DENTAL

Practice address

165 W Lincoln Ave
Hinckley, IL 60520-9207

Phone

(815) 286-3303

Fax

(815) 286-9249

NPI assigned

Aug 4, 2008

Organization subpart

No

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

Authorized official

Name

Keith A BarnhartNPI 1528074697

Title

DDS

Phone

(815) 286-3303

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith A Barnhart, D.D.S.

  • General Practice Dentistry
  • Hinckley, IL
  • NPI 1528074697
  NPD (past) Authorized official
• Shirali D Shah

  • General Practice Dentistry
  • Streamwood, IL
  • NPI 1508553256
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710143243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W LINCOLN AVE",
            "city": "HINCKLEY",
            "state": "IL",
            "postal_code": "605209207",
            "telephone_number": "815-286-3303",
            "fax_number": "815-286-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W LINCOLN AVE",
            "city": "HINCKLEY",
            "state": "IL",
            "postal_code": "605209207",
            "telephone_number": "815-286-3303",
            "fax_number": "815-286-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUAW GROVE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BARNHART",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "815-286-3303"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Promila Marwaha, DMD
• Vijay K Marwaha, MD
• Orasmiles, P.C
• Colleen Elizabeth Parks, LCSW
• Michael Joseph Scalley, D.C.
• Jean L Walsh, D.O.

• Dental Clinic/Center in Hinckley, IL
• Providers in Hinckley, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.