TAD A ERICKSON DDS A DENTAL CORPORATION (NPI# 1245799956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245799956 |
| Entity Type | Organization |
| Organization Name | TAD A ERICKSON DDS A DENTAL CORPORATION |
| Practice Address |
346 Kanan Rd Ste 101 Oak Park CA 91377-1165 |
| Practice Telephone | 8188892254 |
| Practice Fax Number | 8188890636 |
| Mailing Telephone | 8188892254 |
| Mailing Fax Number | 8188890636 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |
| Authorized Official Name | DR. TAD ERICKSON (DENTIST/OWNER) |
| Authorized Official Telephone | 8188892254 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Tad A Erickson, DDS A Dental Corp | Other Name - Individual/Organization |
| Tad Erickson DDS A Dental Corporation | Other Name - Individual/Organization |
| Street Address |
346 KANAN RD STE 101 |
| City | OAK PARK |
| State | CA |
| Zip Code | 91377-1165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396377321 | Rachel Convey | Speech-Language Pathologist | 362 North Oak Hills Dr, Oak Park, CA 91377 | 2020-02-07 |
| 1992254502 | Brenda Pasqua | Emergency Medical Technician, Basic | 899 Kanan Rd, Oak Park, CA 91377 | 2016-09-23 |
| 1093178303 | Paul Hahn | Marriage & Family Therapist | 6843 Poppyview Drive, Oak Park, CA 91377 | 2016-04-04 |
| 1881848554 | Akeomai Physical Therapy, PC | Clinic/Center | 734 Lindero Canyon Road, Oak Park, CA 91377 | 2008-11-07 |
| 1386865988 | Eyal Ron | Radiology | 325 Southridge Dr, Oak Park, CA 91377 | 2007-05-01 |
| 1811079809 | Tracey Burrell | Psychologist | 346 North Kanan Road, 202, Oak Park, CA 91377 | 2006-10-19 |
| 1033421805 | Karen Tenenblatt | Pediatrics | 358 Kanan Rd, Oak Park, CA 91377 | 2010-07-09 |
| 1992203228 | Nancy Raquel Ludwig | Marriage & Family Therapist | 5867 Briarwood Ln, Oak Park, CA 91377-1063 | 2018-02-01 |
| 1083798805 | Tad Alan Erickson | Dentist | 346 Kanan Rd, Suite 101, Oak Park, CA 91377-1100 | 2006-10-25 |
| 1982851812 | Gary Thomas Hardeman | Speech-Language Pathologist | 346 Kanan Rd, #104, Oak Park, CA 91377-1100 | 2008-08-21 |
| Find all providers in zip 91377 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780235655 | Walter Kelley Farris | Dentist | 1515 N Harlem Ave Ste 200, Oak Park, IL 60302-1277 | 2019-09-23 |
| 1629620273 | Fandah A. Hamdi | Dentist | 1136 Pleasant St Apt 2e, Oak Park, IL 60302-3043 | 2019-07-14 |
| 1891259768 | D2 Dental of Lansing, P.C. | Dentist | 1 Chicago Ave, Oak Park, IL 60302-2432 | 2019-01-24 |
| 1104259407 | Ruoyu Pang | Dentist | 340 S Austin Blvd, Apt 3k, Oak Park, IL 60304-1743 | 2013-08-10 |
| 1962843771 | Sinan A Shisha | Dentist | 13231 W 10 Mile Rd, Oak Park, MI 48237-4631 | 2013-07-09 |
| 1295173953 | Oak Park Dental Studio | Dentist | 6630 Roosevelt Rd, Oak Park, IL 60304-2059 | 2013-06-04 |
| 1255623450 | Maria Cristina Velarde | Dentist | 608 Lindero Canyon Rd, Oak Park, CA 91377-5455 | 2011-05-05 |
| 1740515568 | James E Scapillato | Dentist | 6943 North Ave, Oak Park, IL 60302-1024 | 2009-10-13 |
| 1851529382 | Chicago Dental Spa, Ltd. | Dentist | 106 S Ridgeland Ave, #408, Oak Park, IL 60302-4613 | 2009-06-23 |
| 1023261617 | St.george Family Dentistry P.c | Dentist | 10470 W 9 Mile Rd, Oak Park, MI 48237-2914 | 2008-10-28 |
| Find all providers in OAK PARK | ||||
Please comment or provide details below to improve the information on TAD A ERICKSON DDS A DENTAL CORPORATION.
| 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.