NPIMap

Organization Active NPI

Sweet Tooth Odontologa LLC

Doing business as Archer Heights Family Dentistry

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1881350981
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SWEET TOOTH ODONTOLOGA LLC
Doing business as
Archer Heights Family Dentistry
Practice address
4732 S Pulaski Rd
Chicago, IL 60632-4114
Phone
(773) 376-1111
NPI assigned
Nov 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Melissa Villafane, DMDNPI 1851885453
Title
Owner
Phone
(630) 532-0207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4732 S Pulaski Rd
Chicago, IL 60632-4114

Mailing address

200 W Parkview Dr
Addison, IL 60101-3727
Phone (630) 532-0207

Other names 1

  • Archer Heights Family Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL desktop

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1881350981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W PARKVIEW DR",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013727",
            "telephone_number": "630-532-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4732 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324114",
            "telephone_number": "773-376-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET TOOTH ODONTOLOGA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "VILLAFANE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-532-0207",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "desktop",
            "affiliation": "N",
            "address_1": "4732 S Pulaski Rd",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606324114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Archer Heights Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.