SOUTHWEST ORAL SURGEONS,P.C. (NPI# 1215123187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215123187 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST ORAL SURGEONS,P.C. |
| Practice Address |
6305 W 95th St 3rd Floor Oak Lawn IL 60453-2255 |
| Practice Telephone | 7084254300 |
| Practice Fax Number | 7084254310 |
| Mailing Telephone | 7084254300 |
| Mailing Fax Number | 7084254310 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |
| Authorized Official Name | DR. WILLIAM G. FLICK (DOCTOR/OWNER) |
| Authorized Official Telephone | 7084254300 |
| Authorized Official Credential | DDSMPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
IL | Dental Providers |
| Street Address |
6305 W 95TH ST 3RD FLOOR |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871696922 | William Gustav Flick | Dentist | 6305 W 95th St, Suite 301, Oak Lawn, IL 60453-2255 | 2006-09-06 |
| 1801268305 | Pediatric Dental Specialists | Dentist | 6305 W 95th St, Oak Lawn, IL 60453-2255 | 2015-10-22 |
| 1427233170 | Tom Trikolas Dds PC | Dentist | 6305 W 95th St, Oak Lawn, IL 60453-2255 | 2007-12-31 |
| 1194943852 | Richard J. Rozich | Chiropractor | 6305 W 95th St, Suite 310, Oak Lawn, IL 60453-2255 | 2007-04-20 |
| 1982738829 | Janice A Lubas | Dentist | 6305 W 95th St, Oak Lawn, IL 60453-2255 | 2007-03-15 |
| 1821122680 | Richard J Cahill | Dentist | 6305 W 95th St, Oak Lawn, IL 60453-2255 | 2007-03-15 |
| 1194881474 | Tom Trikolas | Dentist | 6305 W 95th St, Oak Lawn, IL 60453-2255 | 2006-12-29 |
| 1265516553 | Dennis Paul Morris | Dentist | 6305 W 95th St, Oak Lawn, IL 60453-2255 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558582148 | Joel Schwartz | Dentist | 801 S Paulina, Mc 621, Chicago, IL 60612 | 2007-05-01 |
| 1982822912 | Oral and Maxillofacial Surgery Affiliates Ltd. | Dentist | 111 S Washington St., Ste 101, Park Ridge, IL 60068-4203 | 2007-04-23 |
| 1700920113 | Ordie H. King Jr. | Dentist | 6111 Vollmer Ln, Godfrey, IL 62035-1062 | 2007-02-18 |
| 1568514248 | Mark W Lingen | Dentist | 150 Harvester Dr Ste 300, Burr Ridge, IL 60527-5965 | 2007-01-16 |
| 1861402893 | Dennis Gerald Boyer | Dentist | 183 S Bloomingdale Rd Ste 205, Bloomingdale, IL 60108-1400 | 2006-08-09 |
| 1871516088 | Sara C Gordon | Dentist | 801 S Paulina Street, Dept of Oral Medicine Uic College of Dentistry Mc 838, Chicago, IL 60612-7213 | 2006-07-26 |
| 1114967205 | Jerome E. Schoen | Dentist | 303 N Northwest Hwy, Barrington, IL 60010-3396 | 2006-06-07 |
| 1558312371 | James A Morrone | Dentist | 120 Oakbrook Ctr, Suite 700, Oak Brook, IL 60523-1806 | 2006-05-15 |
| 1205808854 | Reza Mostofi | Dentist | 3407 W Bryn Mawr Ave, Chicago, IL 60659-3450 | 2006-02-06 |
| 1710413091 | Kathleen Higgins | Dentist | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2017-05-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.