De la Fuente, DMD P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DE LA FUENTE, DMD P.C.

Practice address

1985 N Gary Ave
Wheaton, IL 60187-3056

Phone

(630) 724-7765

NPI assigned

Aug 17, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Isidro De la Fuente

Title

Business Manager

Phone

(630) 724-7765

Specialties & licenses 1

Addresses

Other names 1

• 20/32 DENTAL CO. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna De la Fuente, DMD

  • Dentist
  • Wheeling, IL
  • NPI 1083099733
  NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1982370334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FORESTVIEW DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601207401",
            "telephone_number": "630-724-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 N GARY AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873056",
            "telephone_number": "630-724-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LA FUENTE, DMD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "DE LA FUENTE",
        "authorized_official_first_name": "ISIDRO",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "630-724-7765",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20/32 DENTAL CO.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wanda Davis
• Shaquese L Dawkins
• Raygen Day
• Rebecca Ann Dayton
• Ron Christian De Gracia
• Vanessa De la Mora, LCSW
• Dean a. Francis, D.D.S., P.C.
• Diana Rose Dean
• Priscilla E Dean, LPC
• Michele Decanio, L.C.P.C

• General Practice Dentistry in Wheaton, IL
• Providers in Wheaton, 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 17, 2021; 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.