Organization Active NPI

Sal Dental, P.C.

  • Dentist
  • Joliet, IL
National Provider Identifier
1871728634
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SAL DENTAL, P.C.
Practice address
2239 W Jefferson St
Suite #104-105/a-B
Joliet, IL 60435-6303
Phone
(815) 207-4442
NPI assigned
May 22, 2009
Last updated
Dec 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Dr. Dimitri J Haralampopoulos
Title
Co-Owner
Phone
(847) 414-3309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X IL Primary

Addresses

Primary practice location

2239 W Jefferson St
Suite #104-105/a-B
Joliet, IL 60435-6303

Mailing address

2239 W Jefferson St
#104A-105B
Joliet, IL 60435-6303
Phone (815) 207-4442

National Provider Directory

National Provider Directory

Locations

2239 W Jefferson St
#104A105B
Joliet, IL 60435

2239 W Jefferson St
Ste 104105AB
Joliet, IL 60435
Phone (815) 207-4442

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1871728634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 W JEFFERSON ST",
            "address_2": "#104A-105B",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356303",
            "telephone_number": "815-207-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 W JEFFERSON ST",
            "address_2": "SUITE #104-105/A-B",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356303",
            "telephone_number": "815-207-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAL DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "HARALAMPOPOULOS",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "847-414-3309",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.