SOUTHWEST ENDODONTICS NPI 1982934972

NPI Information

  • NPI: 1982934972
  • Provider Name: SOUTHWEST ENDODONTICS
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Other Name: ORLAND ENDODONTICS
  • Address: 16055 108TH AVE
    STE H
    ORLAND PARK, IL
    ZIP 60467
  • Phone: (708) 460-9191

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NPI Details

SOUTHWEST ENDODONTICS is an endodontics dentist in Orland Park, IL. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. SOUTHWEST ENDODONTICS NPI is 1982934972. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Orland Endodontics.

The provider's business location address is:

16055 108TH AVE
STE H
ORLAND PARK, IL
ZIP 60467-347
Phone: (708) 460-9191
Fax: (708) 460-9407

The provider's authorized official is Vladimir Tismensky .
The authorized official title is President and has the following contact phone number (708) 576-8442.

The enumeration date for this NPI number is 1/13/2010 and was last updated on 5/28/2021.

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
11223E0200XDentistEndodontics02101135ILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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