Demas Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019028260 Issued in IL

Legal business name

DEMAS DENTAL PC

Practice address

111 S Washington Ave
Suite 202
Park Ridge, IL 60068-4203

Phone

(847) 692-6800

Fax

(847) 692-6336

NPI assigned

Aug 26, 2016

Organization subpart

Yes

Parent organization

DEMAS DENTAL PCAs reported in NPPES

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

Authorized official

Name

Matthew Demas, DDS

Title

Owner

Phone

(847) 692-6800

Specialties & licenses 1

Addresses

Other names 1

• Family Dental Care Park Ridge Doing business as

Part of

Demas Dental PC

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1972059368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S WASHINGTON AVE",
            "address_2": "SUITE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684203",
            "telephone_number": "847-692-6800",
            "fax_number": "847-692-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S WASHINGTON AVE",
            "address_2": "SUITE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684203",
            "telephone_number": "847-692-6800",
            "fax_number": "847-692-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMAS DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEMAS DENTAL PC",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "DEMAS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-692-6800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care Park Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Dejulius, RDN, LD
• Jan R Delariman, O.T.
• Melanie Elizabeth Delbeccaro, MD
• Joanna Delgado, APRN
• Rebecca Sue Demarchi
• Matthew Thomas Demas, DDS
• Dempster Potter Pharmacy
• Anna Souphea Denby
• Dennis M Moore MD SC
• Thomas Dent, MD

• General Practice Dentistry in Park Ridge, IL
• Providers in Park Ridge, 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 26, 2016; 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.