Chicago Dental Salon, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019017931 Issued in IL

Legal business name

CHICAGO DENTAL SALON, P.C.

Practice address

10004 S Kedzie Ave
Evergreen Park, IL 60805-3420

Phone

(708) 425-2542

NPI assigned

Jun 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Wesley Eric Campin, DDSNPI 1689707325

Title

President/Owner

Phone

(708) 425-2542

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.

• Wesley Eric Campin, D.M.D.

  • General Practice Dentistry
  • Highland Park, IL
  • NPI 1689707325
  NPD Authorized official

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1801150610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 S KEDZIE AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053420",
            "telephone_number": "708-425-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 S KEDZIE AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053420",
            "telephone_number": "708-425-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO DENTAL SALON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "CAMPIN",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "708-425-2542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019017931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Charuk, DO
• Ahmad Chatila, MD
• Christopher Chelini, DC
• Kevin Matthew Chentorycki, PHARMD
• Sarah Chewning, APN-CNP
• Chicago Heart and Vascular Centers LLC
• Gina Marie Chigaros, LCPC
• Tara Childress-Jackson, SLPA
• Dinesh Chinthagada, M.D.
• Sreedevi Chittineni, M.D.

• General Practice Dentistry in Evergreen Park, IL
• Providers in Evergreen Park, 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 26, 2012; 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.