Pediatric Dental Specialists

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

019020526 Issued in IL

Legal business name

PEDIATRIC DENTAL SPECIALISTS

Practice address

6305 W 95TH St
Oak Lawn, IL 60453-2255

Phone

(708) 424-1300

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Janice A Lubas, DDS

Title

Secretary

Phone

(708) 424-1300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1801268305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532255",
            "telephone_number": "708-424-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532255",
            "telephone_number": "708-424-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "LUBAS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "708-424-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019020526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasia M Pearson, APRN, FNP-C
• Cynthia Peca, PHARM D.
• Melissa Ann Pecano-Jones, LPC
• Neelesh Sai Peddireddy, MD
• Pediatric Cancer Institute
• Pediatric Healthy Hearts, S.C.
• Pediatric Subspecialty and Hospitalist Association LLC
• Pediatrics on Demand Urgent Care
• Pediatrics on Demand, Inc.
• Ari S Peikes, MD

• Pediatric Dentistry in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.