Donna Maddalozzo DDS Ms PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

DONNA MADDALOZZO DDS MS PC

Practice address

649 N First Bank Dr
Palatine, IL 60067-8111

Phone

(847) 934-4280

Fax

(847) 934-4294

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Donna Maddalozzo, DDS MS

Title

President

Phone

(847) 934-4280

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1881764264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 N FIRST BANK DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678111",
            "telephone_number": "847-934-4280",
            "fax_number": "847-934-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 N FIRST BANK DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678111",
            "telephone_number": "847-934-4280",
            "fax_number": "847-934-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA MADDALOZZO DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MADDALOZZO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-934-4280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.