Dental Boutique

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL BOUTIQUE

Practice address

20646 Abbey Woods Court North
Suite 101
Frankfort, IL 60423-3169

Phone

(815) 806-1451

Fax

(815) 806-1454

NPI assigned

May 31, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eric Edward Klein, DMDNPI 1548353923

Title

Owner

Phone

(815) 806-1451

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Eric Edward Klein, DMD

  • Dentist
  • Frankfort, IL
  • NPI 1548353923
  NPD (past) Authorized official
• Ryan Nolan

  • Dentist
  • Frankfort, IL
  • NPI 1831505965
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952502221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20646 ABBEY WOODS COURT NORTH",
            "address_2": "SUITE 101",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233169",
            "telephone_number": "815-806-1451",
            "fax_number": "815-806-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20646 ABBEY WOODS COURT NORTH",
            "address_2": "SUITE 101",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233169",
            "telephone_number": "815-806-1451",
            "fax_number": "815-806-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-806-1451",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridie Supple Deiters, PT
• Stacy Irene Dejong, CCC-SLP
• Heather Dawn Dekrey, OTR/L
• Cristina Sujey Deluna Perez
• Denali Dental PLLC
• Dental Professionals of Illinois, P.C. (Complete Dental of Frankfort)
• Chirag Desai, DMD
• Design Dental Studio
• Theresa Devine, OTR/L
• Dgbdds LLC, Denise Maniakouras, DDS (Bite Size Pediatric Dentistry)

• General Practice Dentistry in Frankfort, IL
• Providers in Frankfort, 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 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.