Dental Design Group, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-022779 Issued in IL

Legal business name

DENTAL DESIGN GROUP, INC

Doing business as

Smile Designers

Practice address

1000 E Ogden Ave
Naperville, IL 60563-8616

Phone

(630) 355-9010

Fax

(630) 355-9926

NPI assigned

May 7, 2007

Last updated

Jun 19, 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

Mr. Jonathan Villanueva

Title

Manager

Phone

(630) 355-9010

Specialties & licenses 4

Addresses

Other names 1

• Smile Designers Doing business as

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1790998748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E OGDEN AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638616",
            "telephone_number": "630-355-9010",
            "fax_number": "630-355-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E OGDEN AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638616",
            "telephone_number": "630-355-9010",
            "fax_number": "630-355-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DESIGN GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-355-9010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-022779",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-025099",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021-002028",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021-001200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Designers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Legacki Tompkins, Psy.D. & Assoc. LTD.
• David Dennis, LCSW
• Nanci Elizabeth Dennison, PT
• Lauren Denovellis, MOT, OTR/L
• Dental Care of Naperville
• Dental Group of Naperville, P.C. (Right Choice Dental Care)
• Dental Pointe
• Dental Professionals of Illinois, P.C (Innovative Orthodontic Centers)
• Dental Professionals of Illinois, P.C (Naperville Dental Specialists)
• Dental Professionals of Illinois, P.C (Innovative Pediatric Dentistry)

• General Practice Dentistry in Naperville, IL
• Providers in Naperville, 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 Jun 19, 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.