ORLAND SQUARE DENTAL NPI 1306172804

NPI Information

  • NPI: 1306172804
  • Provider Name: ORLAND SQUARE DENTAL
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 62 ORLAND SQUARE DR STE 104
    ORLAND PARK, IL
    ZIP 60462
  • Phone: (708) 460-7440

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NPI Details

ORLAND SQUARE DENTAL 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. ORLAND SQUARE DENTAL NPI is 1306172804. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

62 ORLAND SQUARE DR STE 104
ORLAND PARK, IL
ZIP 60462-558
Phone: (708) 460-7440

The provider's authorized official is Gadia Peabody .
The authorized official title is General Dentist and has the following contact phone number (708) 460-7440.

The enumeration date for this NPI number is 10/19/2009 and was last updated on 10/19/2009.

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 Practice019-026130ILLINOISYes

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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