Plum Grove Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019025656 Issued in IL

Legal business name

PLUM GROVE FAMILY DENTAL

Practice address

2166 Plum Grove Rd
Rolling Meadows, IL 60008-1932

Phone

(847) 221-5860

Fax

(847) 221-5861

NPI assigned

Apr 1, 2013

Last updated

Apr 1, 2013By 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. Ye Wang, DMDNPI 1578726568

Title

The President

Phone

(847) 221-5860

Specialties & licenses 1

Addresses

Tax ID family

Dr Wang DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr Wang DMD PC

  • General Practice Dentistry
  • Rolling Meadows, IL
  • NPI 1982754446
  NPD tax ID

Locations

Practitioners 1

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.

• Ye Wang, DMD

  • General Practice Dentistry
  • Rolling Meadows, IL
  • NPI 1578726568
  NPD (past) Authorized official

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1760725436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 PLUM GROVE RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081932",
            "telephone_number": "847-221-5860",
            "fax_number": "847-221-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 PLUM GROVE RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081932",
            "telephone_number": "847-221-5860",
            "fax_number": "847-221-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUM GROVE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "YE",
        "authorized_official_title_or_position": "THE PRESIDENT",
        "authorized_official_telephone_number": "847-221-5860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physician on Call
• Bridget Gregory Pileggi, LMFT
• Jowella Real Pineda, M.D.
• PJG and Associates (PJG and Associates Illinois)
• Plum Creek Supportive Living
• Amanda J Podulka, DPT
• Lisa Porters
• Maria Powell, M.D.
• Natalie Pragovich, FNP-BC
• Michelle M. Precin

• General Practice Dentistry in Rolling Meadows, IL
• Providers in Rolling Meadows, 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 Apr 1, 2013; 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.