William J Dvorak DDS LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19 14549 Issued in IL

Legal business name

WILLIAM J DVORAK DDS LTD

Practice address

430 N Main Street
Glen Ellyn, IL 60137

Phone

(630) 858-7017

Fax

(630) 858-4399

NPI assigned

Dec 5, 2006

Last updated

Aug 22, 2020By 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

Dr. William J Dvorak, DDS

Title

Pres

Phone

(630) 858-7017

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730247099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N MAIN STREET",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "60137",
            "telephone_number": "630-858-7017",
            "fax_number": "630-858-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N MAIN STREET",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "60137",
            "telephone_number": "630-858-7017",
            "fax_number": "630-858-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J DVORAK DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DVORAK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "630-858-7017",
        "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": "19 14549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Brooke Wheeler, AUD
• Jennifer Liliani Whitesides, MSW
• Wholistic Care, Inc
• Anne M Wielgos, P.T.
• Emma Rose Wilens, OTR/L
• Daniel Williams Jr.
• Janet A Williams, LCPC
• Robert F Wilson Jr., M.D.
• Aneta Wisniewska, MA
• Heather Wisniewski, D.C.

• General Practice Dentistry in Glen Ellyn, IL
• Providers in Glen Ellyn, 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.