Hanover Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HANOVER DENTAL PC

Practice address

7640 Barrington Rd
Hanover Park, IL 60133-2213

Phone

(630) 830-2000

Fax

(630) 830-9500

NPI assigned

Jan 27, 2010

Organization subpart

No

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

Authorized official

Name

Reem Shafi, DDS

Title

Owner

Phone

(630) 631-1790

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sayali Bhatwadekar, DDS

  • General Practice Dentistry
  • Libertyville, IL
  • NPI 1265751291
  NPD (past)
• Sheila Varughese George, D.M.D.

  • General Practice Dentistry
  • Hanover Park, IL
  • NPI 1033586276
  NPD (past)

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1811228166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 BARRINGTON RD",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601332213",
            "telephone_number": "630-830-2000",
            "fax_number": "630-830-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 BARRINGTON RD",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601332213",
            "telephone_number": "630-830-2000",
            "fax_number": "630-830-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "REEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-631-1790",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Mitchel Griffin, R.PH.
• Genie Cynthia Guerra
• David M Gursky, PH D
• Elena D Hain, B.A.
• Susanne Michele Hall, P.T.
• Hanover Park Dental Clinic, LLC
• Hanover Park Physical Medicine & Rehabilitation LTD
• Hanover Pharmacy, LLC.
• Hanover Smile Dental P.C.
• Kathleen Marie Hansen, DDS

• General Practice Dentistry in Hanover Park, IL
• Providers in Hanover 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 Jan 27, 2010; 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.