South Holland Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTH HOLLAND DENTAL PC

Practice address

808 E Sibley Blvd
Dolton, IL 60419-2130

Phone

(708) 499-0100

NPI assigned

Apr 25, 2014

Organization subpart

Yes

Parent organization

METROSMILES - CICERO DENTAL, P.CAs reported in NPPES

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

Authorized official

Name

Dr. Chris Tsaliagos

Title

President

Phone

(708) 499-0100

Specialties & licenses 1

Addresses

Other names 1

• Metro Smiles - Dolton Doing business as

Part of

Metrosmiles - Cicero Dental PC

Locations

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1962822296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4842 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042531",
            "telephone_number": "708-222-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 E SIBLEY BLVD",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604192130",
            "telephone_number": "708-499-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HOLLAND DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METROSMILES - CICERO DENTAL,  P.C",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "TSALIAGOS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-499-0100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Smiles - Dolton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina A Shroff, DDS
• Lee B Silverglade, D.D.S.
• Andrea N Slasuraitis, MD
• SLM Developmental, Inc.
• Leslie Smith
• Southland Home Labs Corp.,
• Gregory Peck Stapleton Sr.
• Jeanette Strickland, PHARMD
• Swain Therapy & Counseling, LLC
• Tina Swain, MA, LPC

• General Practice Dentistry in Dolton, IL
• Providers in Dolton, 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 11, 2014; 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.