NPIMap

Organization Active NPI

Abt Dental Associates LLC

  • General Practice Dentistry
  • Skokie, IL
National Provider Identifier
1902339369
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-019845 Issued in IL
Legal business name
ABT DENTAL ASSOCIATES LLC
Practice address
4709 Golf Rd
Ste 1005
Skokie, IL 60076-1231
Phone
(847) 677-2404
Fax
(847) 677-7432
NPI assigned
Apr 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Dr. Elliot Abt, D.D.S., M.S., M.SC.
Title
Sole Member
Phone
(847) 677-2404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019-019845 IL Primary

Addresses

Primary practice location

4709 Golf Rd
Ste 1005
Skokie, IL 60076-1231

Mailing address

4709 Golf Rd
Ste 1005
Skokie, IL 60076-1231
Phone (847) 677-2404

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1902339369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD",
            "address_2": "STE 1005",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761231",
            "telephone_number": "847-677-2404",
            "fax_number": "847-677-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD",
            "address_2": "STE 1005",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761231",
            "telephone_number": "847-677-2404",
            "fax_number": "847-677-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABT DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "ABT",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "847-677-2404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S., M.SC."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-019845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.