Distinctive Dental Services

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

01901923 Issued in IL

Legal business name

DISTINCTIVE DENTAL SERVICES

Practice address

185 N Marion St
Oak Park, IL 60301-1513

Phone

(708) 386-0177

Fax

(708) 386-8897

NPI assigned

May 23, 2008

Last updated

May 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence Patrick Smith, D.D.S.NPI 1932315652

Title

Owner

Phone

(708) 386-0177

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence Patrick Smith, DDS

  • Dentist
  • Oak Park, IL
  • NPI 1932315652
  NPD (past) Authorized official

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1972761260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 N MARION ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011513",
            "telephone_number": "708-386-0177",
            "fax_number": "708-386-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 N MARION ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011513",
            "telephone_number": "708-386-0177",
            "fax_number": "708-386-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINCTIVE DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-386-0177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01901923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Oak Park, IL
• Providers in Oak Park, 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 May 23, 2008; 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.