Marietta a Bufalino Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019019069 Issued in IL

Legal business name

MARIETTA A BUFALINO INC

Practice address

4005 1 2 Algonquin Rd
Rolling Meadows, IL 60008

Phone

(847) 397-6060

Fax

(847) 397-6063

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marietta A Bufalino, DDSNPI 1972922433

Title

President

Phone

(847) 397-6060

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Marietta Bufalino, DDS

  • Dentist
  • Rolling Meadows, IL
  • NPI 1972922433

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1952453979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 1 2 ALGONQUIN RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "60008",
            "telephone_number": "847-397-6060",
            "fax_number": "847-397-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 1 2 ALGONQUIN RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "60008",
            "telephone_number": "847-397-6060",
            "fax_number": "847-397-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA A BUFALINO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "BUFALINO",
        "authorized_official_first_name": "MARIETTA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-397-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "019019069",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manor Care of Rolling Meadows Il LLC
• Debbie G Manos-Balis, D.D.S
• Amy L. Marcheschi, P.A.
• Michael Robert Marcucci, M.A., CCC-SLP
• Maria Powell, M.D., S.C.
• Angela Martirosyan, DMD
• Katarzyna Marusiak
• Bassam F Matar, MD
• Sheena K Mathew
• Christy A Matusiak, D.C.

• General Practice Dentistry in Rolling Meadows, IL
• Providers in Rolling Meadows, 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 Jan 12, 2011; 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.