PJCC Dental PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PJCC DENTAL PC

Practice address

2731 Mannheim Rd
Franklin Park, IL 60131-2219

Phone

(847) 451-0001

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Dimitri Haralampopoulos

Title

Co-Owner

Phone

(847) 414-3309

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1972805695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 MANNHEIM RD",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 MANNHEIM RD",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312219",
            "telephone_number": "847-451-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJCC DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "HARALAMPOPOULOS",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "847-414-3309"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Franklin Park, IL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.