Ronald C. Hartzer D.D.S.,M.S., Periodontics, LTD.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019013133 Issued in IL

Legal business name

RONALD C. HARTZER D.D.S.,M.S., PERIODONTICS, LTD.

Practice address

609 W Greenwood Ave
Waukegan, IL 60087-5000

Phone

(847) 244-9000

Fax

(847) 244-0009

NPI assigned

Jun 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ronald C. Hartzer, D.D.S., M.S.

Title

President

Phone

(847) 244-9000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1770742389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W GREENWOOD AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600875000",
            "telephone_number": "847-244-9000",
            "fax_number": "847-244-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W GREENWOOD AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600875000",
            "telephone_number": "847-244-9000",
            "fax_number": "847-244-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD C. HARTZER D.D.S.,M.S., PERIODONTICS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "HARTZER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-244-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019013133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmie Shawn Rogers
• Thomas Rogers, PH.D.
• Marcela Rojas
• Siobhan Elizabeth Romano, NP
• Scarlet Giselle Romero
• Pablo Yabet Rosario Albert
• Adnybel Rosario-Ortiz, M.D.
• Joshua Rosen, B.A.
• Sarah Rosing
• Martin Rowe, DDS

• Dental Clinic/Center in Waukegan, IL
• Providers in Waukegan, 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 Jun 9, 2008; 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.