Gentle Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019022941 Issued in IL

Legal business name

GENTLE DENTAL CENTER

Practice address

2917 W 63Rd St
Chicago, IL 60629-2729

Phone

(773) 476-8217

Fax

(773) 476-8251

NPI assigned

Sep 1, 2015

Last updated

Sep 1, 2015By 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. Marilys Valcourt Ewa, DDS,MPH

Title

President

Phone

(708) 307-8844

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, and the practitioner matching its NPPES authorized official.

• Marilys Valcourt Ewa, DDS, MPH

  • Dentist
  • Chicago, IL
  • NPI 1356546840
  NPD (past)

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1790152197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292729",
            "telephone_number": "773-476-8217",
            "fax_number": "773-476-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292729",
            "telephone_number": "773-476-8217",
            "fax_number": "773-476-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "EWA",
        "authorized_official_first_name": "MARILYS",
        "authorized_official_middle_name": "VALCOURT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-307-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MPH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019022941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Patrick Genta, DDS
• Abby Gentile, LCPC
• Abby Nicole Gentile
• Maria Gentile, LCSW
• Gentle Dental Care P.C.
• Gentle Dental Smile
• Gentle Family Dental Care
• Gentle Giant Therapy PLLC
• Gentle Hands Phlebotomy LLC
• Gentle Healing, LLC

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, 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 Sep 1, 2015; 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.