Ez Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-026152 Issued in IL

Legal business name

EZ DENTAL CARE

Practice address

17W697 Butterfield Rd
Suite a
Oakbrook Terrace, IL 60181-4042

Phone

(630) 376-6369

Fax

(630) 485-6939

NPI assigned

Oct 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sayed Haroon B Shah, DMD

Title

Dentist

Phone

(630) 376-6369

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1952654089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W697 BUTTERFIELD RD.",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-376-6369",
            "fax_number": "630-485-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W697 BUTTERFIELD RD",
            "address_2": "SUITE A",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814042",
            "telephone_number": "630-376-6369",
            "fax_number": "630-485-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAYED HAROON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-376-6369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-026152",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-025704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, 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 Oct 26, 2012; 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.