OAAA DENTAL PLLC NPI 1508699059

NPI Information

  • NPI: 1508699059
  • Provider Name: OAAA DENTAL PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: TINLEY PARK SMILES & IMPLANT DENTISTRY
  • Address: 17061 HARLEM AVE
    TINLEY PARK, IL
    ZIP 60477
  • Phone: (708) 429-9797

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NPI Details

OAAA DENTAL PLLC is a dental clinic center in Tinley Park, IL. OAAA DENTAL PLLC NPI is 1508699059. The provider is registered as an organization entity type.
The provider Is Doing Business As Tinley Park Smiles & Implant Dentistry.

The provider's business location address is:

17061 HARLEM AVE
TINLEY PARK, IL
ZIP 60477-739
Phone: (708) 429-9797

The provider's authorized official is Lauren White .
The authorized official title is Manager and has the following contact phone number (708) 429-9797.

The enumeration date for this NPI number is 8/21/2024 and was last updated on 1/13/2025.

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
1261QD0000XClinic/CenterDentalYes

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
11649757386OTHERGENERAL
21104487826OTHERGENERAL

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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