Elgin Dental Associates

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ELGIN DENTAL ASSOCIATES

Practice address

1030 Summit St Ste G
Elgin, IL 60120-4371

Phone

(847) 888-8282

NPI assigned

Jan 2, 2007

Last updated

Aug 22, 2020By 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

Peter Katris, D.D.S.

Title

President

Phone

(847) 888-8282

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811054760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SUMMIT ST STE G",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SUMMIT ST STE G",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204371",
            "telephone_number": "847-888-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KATRIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-888-8282",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elgin Center Pharmacy Inc (Elgin Center Pharmacy)
• Elgin Charter School Initiative LLC (Elgin Math and Science Academy)
• Elgin Dental Care, LLC
• Elgin Dental Profile LTD.
• Elgin Endocrinology
• Elgin Eye Care
• Elgin Family Eye Care LLC

• Dentist in Elgin, IL
• Providers in Elgin, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.