River Forest Dental Studio

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019023349 Issued in IL

Legal business name

RIVER FOREST DENTAL STUDIO

Practice address

7700 Madison St
River Forest, IL 60305-2102

Phone

(708) 366-6760

Fax

(708) 366-6762

NPI assigned

Dec 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gina Marie PiccioniNPI 1811009046

Title

DMD

Phone

(708) 366-6760

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.

• Gina Marie Piccioni, DMD

  • Dentist
  • River Forest, IL
  • NPI 1811009046
  NPD (past) Authorized official
• John G Hartmann, D.D.S.

  • General Practice Dentistry
  • River Forest, IL
  • NPI 1720167539
  NPD (past)

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1962747584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 MADISON ST",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052102",
            "telephone_number": "708-366-6760",
            "fax_number": "708-366-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 MADISON ST",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052102",
            "telephone_number": "708-366-6760",
            "fax_number": "708-366-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER FOREST DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "PICCIONI",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "708-366-6760",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Reyna-Vukotich, D.D.S.
• Carlos Manuel Reynes, M.D.
• Eva Reynoso, LCSW
• Jamie Rini
• Sappho Risner, NCSP
• River Forest Health and Wellness Inc
• River Forest Medical Assoc Inc
• River Forest Medical Associates
• River Forest Public School District 90
• River Forest Surgery Center LLC

• General Practice Dentistry in River Forest, IL
• Providers in River Forest, 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 10, 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.