Sundeep Dhawan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019028275 Issued in IL

Practice address

7714 South Cicero Avenue
Burbank, IL 60459-1583

Phone

(708) 636-3368

Fax

(708) 636-7109

NPI assigned

May 20, 2010

Last updated

Dec 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vertex Endodontics PLLC

  dba Vertex Endodontics

  • Endodontics
  • Frankfort, IL
  • NPI 1831897479
  NPD Authorized official
• Atlas Dental Corp

  • General Practice Dentistry
  • Burbank, IL
  • NPI 1104139096
  NPD (past) Authorized official
• Salud Family Dental

  • Dentist
  • Burbank, IL
  • NPI 1063887404
  NPD (past)

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1962721696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7714 SOUTH CICERO AVENUE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591583",
            "telephone_number": "708-636-3368",
            "fax_number": "708-636-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7714 SOUTH CICERO AVENUE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591583",
            "telephone_number": "708-636-3368",
            "fax_number": "708-636-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAWAN",
        "first_name": "SUNDEEP",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-20",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lea Dela Pena, PHARMD
• Humberto Deleon, MD
• Dental Prestige LLC
• Dental Town LTD
• Charmi Vijay Desai, DO
• Joyce K Diipla, MD
• Meghan Elizabeth Donovan, MD
• Dr. Irving Zagorin Optometrist LTD.
• Mitchell Drexler, DPM MPH
• DRS Wang M.D.S.C

• General Practice Dentistry in Burbank, IL
• Providers in Burbank, 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 Dec 20, 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.