Royal Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019025657 Issued in IL

Legal business name

ROYAL DENTAL

Practice address

270 Center Dr Ste 110
Vernon Hills, IL 60061-1564

Phone

(224) 433-6982

NPI assigned

Dec 13, 2008

Last updated

Dec 13, 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. Alexander Shakhet

Title

Owner

Phone

(224) 433-6982

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229126400000",
    "number": "1881839280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 CENTER DR STE 110",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611564",
            "telephone_number": "224-433-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 CENTER DR STE 110",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611564",
            "telephone_number": "224-433-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-13",
        "last_updated": "2008-12-13",
        "status": "A",
        "authorized_official_last_name": "SHAKHET",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-433-6982",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Vernon Hills, IL
• Providers in Vernon Hills, 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 Dec 13, 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.