Dalia Jodwalis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

Family Dentistry LTD
15543 E 127TH Street Suite 101
Lemont, IL 60439

Phone

(630) 243-1010

Fax

(630) 243-1017

NPI assigned

Nov 15, 2006

Last updated

Jan 7, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Dentistry, LTD

  • General Practice Dentistry
  • Lemont, IL
  • NPI 1861668600
  NPD (past) Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1912070509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FAMILY DENTISTRY LTD",
            "address_2": "15543 E 127TH STREET SUITE 101",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "60439",
            "telephone_number": "630-243-1010",
            "fax_number": "630-243-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FAMILY DENTISTRY LTD",
            "address_2": "15543 E 127TH STREET SUITE 101",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "60439",
            "telephone_number": "630-243-1010",
            "fax_number": "630-243-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODWALIS",
        "first_name": "DALIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurimas Jackunas, PA-C
• Susan Jacobowski, L.C.S.W.
• Jeffrey E Forzley DC PC (Forzley Chiropractic)
• Deborah Jenkins
• Paige Jenkins
• Leah Johnson
• Debria Jones
• Megan E Jones
• Cynthia M Jovanovich, DPT
• Frida Juarez

• General Practice Dentistry in Lemont, IL
• Providers in Lemont, 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 7, 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.