80TH AVE DENTAL ASSOCIATES NPI 1255400925

NPI Information

  • NPI: 1255400925
  • Provider Name: 80TH AVE DENTAL ASSOCIATES
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 16717 80TH AVE
    TINLEY PARK, IL
    ZIP 60477
  • Phone: (708) 429-3504

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NPI Details

80TH AVE DENTAL ASSOCIATES is a general practice dentist in Tinley 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. 80TH AVE DENTAL ASSOCIATES NPI is 1255400925. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16717 80TH AVE
TINLEY PARK, IL
ZIP 60477-361
Phone: (708) 429-3504
Fax: (708) 429-5667

The provider's authorized official is Richard A Strauman .
The authorized official title is President and has the following contact phone number (708) 429-3504.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 7/8/2008.

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 Practice019016658ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CBMI1OTHERMICHIGANBCBS
2CBAR1OTHERARKANSASBCBS
3CBFL1OTHERFLORIDABCBS
406126OTHERNEW YORKBCBS
5SP601OTHERCALIFORNIABCBS
6CB621OTHERILLINOISBCBS
7CBAL1OTHERALABAMABCBS

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: 11/21/2025

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