Dental Arts Group PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL ARTS GROUP PLLC

Practice address

340 E Randolph St
Chicago, IL 60601-7418

Phone

(312) 434-5000

NPI assigned

Aug 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Scott W Overholser, DDSNPI 1053578260

Title

Dentist/Owner

Phone

(773) 807-2353

Specialties & licenses 1

Addresses

Other names 2

• LAKEVIEW DENTAL ARTS Doing business as
• Lakeshore East Dental Arts Doing business as

Locations

Practitioners 2

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

• Scott Overholser, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1053578260
  NPD Authorized official
• Al-Yazeed Yousef, DMD

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1063041184
  NPD (past)

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1932939261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E RANDOLPH ST STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017409",
            "telephone_number": "312-434-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E RANDOLPH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017418",
            "telephone_number": "312-434-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "OVERHOLSER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "773-807-2353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKEVIEW DENTAL ARTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeshore East Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Chicago, IL
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.