INTERNATIONAL DENTAL OF OAK LAWN


Address: 9539 S Cicero Ave, Oak Lawn, IL 60453
Phone: 8157301570

INTERNATIONAL DENTAL OF OAK LAWN (NPI# 1679085245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679085245
Entity Type Organization
Organization Name INTERNATIONAL DENTAL OF OAK LAWN
Other Organization Name INTERNATIONAL DENTAL OF OAK LAWN
Practice Address 9539 S Cicero Ave
Oak Lawn
IL 60453
Mailing Address 9539 S Cicero Ave
Oak Lawn
IL 60453-3136
Practice Telephone 8157301570
Mailing Telephone 7086343315
Mailing Fax Number 7086343355
Enumeration Date 2017-11-03
Last Update Date 2018-06-14
Authorized Official Name NADAUNIA PEACHER (OFFICE MANAGER)
Authorized Official Telephone 7086343315
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
International Dental of Oak Lawn Doing Business As Name - Organization

Office Location

Street Address 9539 S CICERO AVE
City OAK LAWN
State IL
Zip Code 60453

Providers in the same zip code

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
1124538301 Kavitha Rajendran Physician Assistant 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 2017-10-02
1164941654 Trevor Charles Smolinski Podiatrist 4650 Sw Hwy, Oak Lawn, IL 60453 2017-09-15
Find all providers in zip 60453

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558984427 Decker Family Dental, PC Clinic/Center 4647 W 103rd St Ste 1d, Oak Lawn, IL 60453-4792 2020-05-26
1366930604 Psp Dental Services P.C. Clinic/Center 5425 W 95th St, Oak Lawn, IL 60453-2354 2018-04-23
1740436120 Thomas J King Jr Dds PC Clinic/Center 10735 S Cicero Ave, Oak Lawn, IL 60453-5400 2008-08-17
1962581736 Brosnan Dental Ltd Clinic/Center 10522 S Cicero Ave, Suite 204, Oak Lawn, IL 60453-5200 2006-11-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124629514 Chicago Pediatric Dentistry and Orthodontics Clinic/Center 1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734 2020-11-03
1437750031 Secure Dental Xi Clinic/Center 1843 W Golf Rd, Schaumburg, IL 60194-1148 2020-11-02
1780283267 Jenna Gaw, Dds, Pllc Clinic/Center 1724 Locust Pl Apt 303, Schaumburg, IL 60173-4239 2020-10-26
1740889344 Nsp Dental LLC Clinic/Center 1900 Hollister Dr Ste 190, Libertyville, IL 60048-5283 2020-10-23
1285232827 Paul Doodes Dds Phd PC Clinic/Center 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137-6282 2020-10-15
1780290676 Great Smile Dental Pllc Clinic/Center 720 Osterman Ave Ste 304, Deerfield, IL 60015-4339 2020-09-16
1669087375 Naperville Smiles Dental Clinic/Center 8 W Gartner Rd Ste 124, Naperville, IL 60540-7549 2020-09-09
1649883364 Mark J Maly Estate Clinic/Center 103 S Main St # Po, Orangeville, IL 61060-9244 2020-08-24
1760094718 Stoffel and Tomazin Dental Associates, Ltd Clinic/Center 5718 W 35th St, Cicero, IL 60804-4222 2020-08-20
1215548771 Meda Dental II LLC Clinic/Center 2735 Hassert Blvd Ste 159, Naperville, IL 60564-5205 2020-08-10
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Competitor

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City OAK LAWN
Zip Code 60453

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Dataset Information

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.

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