North Shore Center of Dental Health

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NORTH SHORE CENTER OF DENTAL HEALTH

Practice address

9350 Waukegan Rd
Morton Grove, IL 60053-1312

Phone

(847) 470-0850

Fax

(847) 470-0859

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Suzanne L. Serviss

Title

Office Manager

Phone

(847) 470-0850

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Christos D. Baboulas, DDS

  • General Practice Dentistry
  • Morton Grove, IL
  • NPI 1083725931
  NPD (past)
• Katherine A. Karalekas, DDS

  • General Practice Dentistry
  • Morton Grove, IL
  • NPI 1487723508
  NPD (past)
• Ronald T. Metelka, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Morton Grove, IL
  • NPI 1265501761
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932278082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 WAUKEGAN RD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531312",
            "telephone_number": "847-470-0850",
            "fax_number": "847-470-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 WAUKEGAN RD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531312",
            "telephone_number": "847-470-0850",
            "fax_number": "847-470-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE CENTER OF DENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SERVISS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-470-0850",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleksandra Nikolic
• Niles TWP Dept of SP Ed
• Shahzad Noor
• Amanda Martha Nord
• North Light Care Services Limited
• North Shore Family Plastic Surgery LLC
• North Shore Pain Management LLC
• North Shore Spine & Wellness Inc
• North Suburban Pulmonary & Critical Care Consultants, S.C.
• Northshore Premier Primary Care,LLC

• Dentist in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.