Susan C. Charles, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.028167 Issued in IL

Legal business name

SUSAN C. CHARLES, D.D.S., P.C.

Practice address

2233 Green Bay Rd
North Chicago, IL 60064-3006

Phone

(847) 689-2900

Fax

(847) 689-9388

NPI assigned

Oct 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Susan Christine Charles, D.D.S.

Title

President

Phone

(847) 689-2900

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ralph Henry Laurell Jr., D.D.S.

  • General Practice Dentistry
  • North Chicago, IL
  • NPI 1013114388
  NPD (past)
• Jacob Steven Lewis, D.M.D.

  • Dentist
  • North Chicago, IL
  • NPI 1144607573
  NPD (past)

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1912217043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643006",
            "telephone_number": "847-689-2900",
            "fax_number": "847-689-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643006",
            "telephone_number": "847-689-2900",
            "fax_number": "847-689-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN C. CHARLES, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-689-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.028167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Lauren Strange
• Mary Elizabeth Sturgeon, DMD
• Hannah Suh, RN
• Jiali Sun
• Jamie Lynn Surgent-Nahay, BS, MS
• Paul Erwin Susman, PHD
• Neda Svrakic, MD
• Pamela Ruth Sykes, APRN
• Kami Tabor, RN, BSN, MSN, MPH
• Karen Susanne Tabor, PA-C

• General Practice Dentistry in North Chicago, IL
• Providers in North Chicago, 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 Oct 7, 2010; 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.