DENTAL ASSOCIATES OF ORLAND PARK PLLC NPI 1053976605

NPI Information

  • NPI: 1053976605
  • Provider Name: DENTAL ASSOCIATES OF ORLAND PARK, PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 9443 W 144TH PL
    ORLAND PARK, IL
    ZIP 60462
  • Phone: (708) 403-9848

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NPI Details

DENTAL ASSOCIATES OF ORLAND PARK, PLLC is a general practice dentist in Orland Park, IL. The provider is 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. DENTAL ASSOCIATES OF ORLAND PARK, PLLC NPI is 1053976605. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9443 W 144TH PL
ORLAND PARK, IL
ZIP 60462-543
Phone: (708) 403-9848

The provider's authorized official is Marley Braker .
The authorized official title is Provider Credentialing Team Leader and has the following contact phone number (414) 808-3031.

The enumeration date for this NPI number is 5/8/2019 and was last updated on 12/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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