CD&L Dental Associates, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CD&L DENTAL ASSOCIATES, INC.

Doing business as

CD&L Dental Associates, Inc.

Practice address

1250 S US Highway 12
Fox Lake, IL 60020-1950

Phone

(847) 587-6600

Fax

(847) 587-6618

NPI assigned

Aug 12, 2006

Last updated

Jan 21, 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

Ms. Tammie Watts, B.S., M.H.A.

Title

Manager

Phone

(847) 587-6600

Specialties & licenses 1

Addresses

Other names 1

• CD&L Dental Associates, Inc. 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.

• Daniel Choo, D.D.S.

  • General Practice Dentistry
  • Fox Lake, IL
  • NPI 1194737759
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1902818560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S US HIGHWAY 12",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201950",
            "telephone_number": "847-587-6600",
            "fax_number": "847-587-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S US HIGHWAY 12",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201950",
            "telephone_number": "847-587-6600",
            "fax_number": "847-587-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CD&L DENTAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-587-6600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S., M.H.A."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CD&L Dental Associates, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonnie Mitchell Health Services
• Nancy D Bourke
• Ashley Brown, LSW
• Jacob Brown
• Holly Kathleen Buchanan, NCC, LPC
• Ningyu Chen
• Daniel Choo, D.D.S.
• Christine Christopher
• Tracy Marie Cooper, LCSW
• Brian Creeron, OTD, OTR/L

• General Practice Dentistry in Fox Lake, IL
• Providers in Fox Lake, 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 Jan 21, 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.