Pulaski Amazing Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PULASKI AMAZING DENTAL LLC

Practice address

4445 N Pulaski Rd Ste R
Chicago, IL 60630-4444

Phone

(773) 647-1725

Fax

(773) 961-8539

NPI assigned

Apr 25, 2019

Organization subpart

No

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

Authorized official

Name

Ahmed Ramaha, DDS

Title

Owner

Phone

(708) 253-2289

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1821652801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W 79TH ST STE 302",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592185",
            "telephone_number": "201-423-3203",
            "fax_number": "708-394-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 N PULASKI RD STE R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304444",
            "telephone_number": "773-647-1725",
            "fax_number": "773-961-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULASKI AMAZING DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "RAMAHA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-253-2289",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sin Lei Pui, MD
• Susann Elisabeth Puican, M.ED, LCPC
• Michael Anthony Puisis, D.O.
• Puja Shah O.D, P.C
• Mateo L Pujol
• Pulaski Dental Center P.C
• Pulaski Road Dentistry PLLC
• Pulaski Smiling Dental P.C.
• Pulaski Universal Dental LLC
• Pulaski Universal Dental LLC

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Jul 16, 2019; 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.