Family Dentistry, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019023175 Issued in IL

Legal business name

FAMILY DENTISTRY, LTD

Practice address

15543 E 127TH St
Suite 101
Lemont, IL 60439-8584

Phone

(630) 243-1010

Fax

(630) 243-1017

NPI assigned

May 1, 2008

Last updated

May 1, 2008By 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

Dr. Dalia Jodwalis, DDSNPI 1912070509

Title

Dentist

Phone

(630) 243-1010

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, and the practitioner matching its NPPES authorized official.

• Dalia Jodwalis, D.D.S.

  • General Practice Dentistry
  • Lemont, IL
  • NPI 1912070509
  NPD (past) Authorized official

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1861668600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15543 E 127TH ST",
            "address_2": "SUITE 101",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604398584",
            "telephone_number": "630-243-1010",
            "fax_number": "630-243-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15543 E 127TH ST",
            "address_2": "SUITE 101",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604398584",
            "telephone_number": "630-243-1010",
            "fax_number": "630-243-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "JODWALIS",
        "authorized_official_first_name": "DALIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-243-1010",
        "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": "019023175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Horatio Dan Enacopol, DDS
• Iulia Enacopol, M.D.
• Frank James Enright II
• Martha Escobedo, PHARM.D, RPH
• Eyes on Lemont PLLC
• Amy Farley, PT
• Gina Favia, SLP
• Ashley F Fiedler
• Timothy F Filippini, DC
• Finding Balance LTD.

• General Practice Dentistry in Lemont, IL
• Providers in Lemont, 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 May 1, 2008; 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.