A G Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

A G DENTAL PC

Doing business as

Dr. Anjanetta M Wonderlick & Associates

Practice address

1112 S Washington St
Suite 211
Naperville, IL 60540-7959

Phone

(630) 355-5211

Fax

(630) 355-5249

NPI assigned

Feb 13, 2007

Last updated

Aug 22, 2020By 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. Anjanetta M Wonderlick, DDSNPI 1124384011

Title

Vice President

Phone

(630) 355-5211

Specialties & licenses 1

Addresses

Other names 1

• Dr. Anjanetta M Wonderlick & Associates Doing business as

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.

• Anjanetta Marie Wonderlick, D.D.S.

  • General Practice Dentistry
  • Naperville, IL
  • NPI 1124384011
  NPD (past) Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881736189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 S WASHINGTON ST",
            "address_2": "SUITE 211",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407959",
            "telephone_number": "630-355-5211",
            "fax_number": "630-355-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S WASHINGTON ST",
            "address_2": "SUITE 211",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407959",
            "telephone_number": "630-355-5211",
            "fax_number": "630-355-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A G DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WONDERLICK",
        "authorized_official_first_name": "ANJANETTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "630-355-5211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Anjanetta M Wonderlick & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 360 Youth Services
• 360 Youth Services
• 360 Youth Services
• A & M Therapy Specialists
• A Dynamics of Illinois LLC
• A Kraai LTD
• A Natural Path to Health (Natural Care Clinic)
• A New Leaf Counseling Practice, LLC
• A Womans Place Inc
• Aanya Health Services PLLC

• General Practice Dentistry in Naperville, IL
• Providers in Naperville, 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 Aug 22, 2020; 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.