Winterset Dental Care PC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

WINTERSET DENTAL CARE PC

Practice address

10727 W 159TH St
Orland Park, IL 60467-4531

Phone

(708) 364-1102

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

Anil Agarwal

Title

Owner

Phone

(773) 582-0035

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Antara Goswami, B.D.S

  • General Practice Dentistry
  • Orland Park, IL
  • NPI 1528885084
  NPD

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1750861209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10727 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674531",
            "telephone_number": "708-364-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10727 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674531",
            "telephone_number": "708-364-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTERSET DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-582-0035"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milford Wilson Jr., M.A
• Richard A Wilson, D.O.
• Shawnece Lashay Wilson, COTA/L
• Tiffany Wilson, M.D.
• Megan Win, OTD, OTR/L
• Sarah Ann Wirtz, OTD, OTR/L
• Patricia Witvoet, LCPC, NCC
• Zaneta Wojas, FNP
• Lawrence Michael Wojcik, PHARM.D.
• Elizabeth Wojtowicz, PA-C

• Oral and Maxillofacial Surgery Clinic/Center in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.