Active NPI
Smile Concepts LTD
- Dentist
- Lake in the Hills, IL
National Provider Identifier
1932329307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SMILE CONCEPTS LTD
- Practice address
- 2110 W Algonquin Rd.
Lake in the Hills, IL 60156 - Phone
- (847) 854-0525
- Fax
- (847) 854-0451
- NPI assigned
- Apr 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pritam S Dang, DDS
- Title
- President
- Phone
- (847) 854-0525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary |
Addresses
Primary practice location
2110 W Algonquin Rd.
Lake in the Hills, IL 60156
Mailing address
2110 W Algonquin Rd.
Lake in the Hills, IL 60156
Phone (847) 854-0525
Other names 1
- Cedar Ridge Dental
National Provider Directory
National Provider Directory- Tax ID family
- Cedar Ridge Dental
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Lake in the Hills, IL
- NPI 1710008370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1932329307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 W ALGONQUIN RD.",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "60156",
"telephone_number": "847-854-0525",
"fax_number": "847-854-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 W ALGONQUIN RD.",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "60156",
"telephone_number": "847-854-0525",
"fax_number": "847-854-0451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE CONCEPTS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DANG",
"authorized_official_first_name": "PRITAM",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-854-0525",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cedar Ridge Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake in the Hills, IL
Sources for this page
- 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.