Active NPI
Afo Dental Group, LTD
Doing business as Stillwater Dental Group, LTD
- Dentist
- Naperville, IL
National Provider Identifier
1922419274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19.021254
- Legal business name
- AFO DENTAL GROUP, LTD
- Doing business as
- Stillwater Dental Group, LTD
- Practice address
- 2959 Artesian Rd
Suite 127
Naperville, IL 60564-8547 - Phone
- (630) 809-6678
- Fax
- (630) 922-9190
- NPI assigned
- May 8, 2014
- Last updated
- May 8, 2014
- Organization subpart
- Yes
- Parent organization
- AFO DENTAL GROUP, LTD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maggie Roeder
- Title
- Office Manager
- Phone
- (630) 922-0600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19.021254 | IL | Primary |
Addresses
Primary practice location
2959 Artesian Rd
Suite 127
Naperville, IL 60564-8547
Mailing address
2959 Artesian Rd
Suite 127
Naperville, IL 60564-8547
Phone (630) 809-6678
Other names 1
- Stillwater Dental Group, LTD
National Provider Directory
National Provider Directory- Tax ID family
- Afo Dental Group
- Part of
- Afo Dental Group
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Locations
2959 Artesian Rd
Ste 127
Naperville, IL 60564
Phone (630) 809-6678
Practitioners & affiliated clinicians
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.
-
- Dentist
- Naperville, IL
- NPI 1194919563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399507200000",
"number": "1922419274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2959 ARTESIAN RD",
"address_2": "SUITE 127",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605648547",
"telephone_number": "630-809-6678",
"fax_number": "630-922-9190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2959 ARTESIAN RD",
"address_2": "SUITE 127",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605648547",
"telephone_number": "630-809-6678",
"fax_number": "630-922-9190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFO DENTAL GROUP, LTD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AFO DENTAL GROUP, LTD",
"enumeration_date": "2014-05-08",
"last_updated": "2014-05-08",
"status": "A",
"authorized_official_last_name": "ROEDER",
"authorized_official_first_name": "MAGGIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "630-922-0600"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "19.021254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Stillwater Dental Group, LTD",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Naperville, IL
- Advocate Health and Hospitals Corporation (Advocate Medical Group (Dreyer))
- Aesthetic Surgery Associates (Center for Cosmetic and Laser Surgery)
- Afferent Influence, LLC
- Affirmed Counseling, Inc.
- Affordable Hearing Solutions
- After Care Home Health Inc.
- Deepak Agarwal, DMD
- Nitika Agarwal, PHARM.D
- Rahul K. Agarwal, M.D.
- Agility Physical Therapy, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.