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ORLAND OAKS DENTAL PC NPI 1659902815


NPI Information

NPI: 1659902815
Provider Name: ORLAND OAKS DENTAL, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
10730 165TH ST
ORLAND PARK, IL
ZIP 60467
Phone: (708) 460-3040
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ORLAND OAKS DENTAL, PC is a dental clinic center in Orland Park, IL. ORLAND OAKS DENTAL, PC NPI is 1659902815. The provider is registered as an organization entity type.

The provider's business location address is:

10730 165TH ST
ORLAND PARK, IL
ZIP 60467-714
Phone: (708) 460-3040

The provider's authorized official is Brian J Walczak .
The authorized official title is President/dentist and has the following contact phone number (708) 945-5564.

The enumeration date for this NPI number is 1/27/2020 and was last updated on 1/27/2020.


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

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: 5/5/2024
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