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80TH AVE DENTAL ASSOCIATES
NPI 1255400925
Dentist - General Practice in Tinley Park, IL

Active since November 07, 2006
16717 80TH AVE, TINLEY PARK, IL 60477(708) 429-3504(708) 429-5667 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 80th Ave Dental Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

80TH AVE DENTAL ASSOCIATES (NPI 1255400925) is a healthcare organization registered as a general practice in Tinley Park, Illinois and active in the NPI registry since November 2006. The organization lists Richard A Strauman, President, as its authorized official.

NPPES Registry Identity

NPI1255400925
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business Name80TH AVE DENTAL ASSOCIATES
Location Address16717 80TH AVETinley Park, IL 60477-2361
Mailing Address16717 80th AveTinley Park, IL 60477-2361 · (708) 429-3504 · Fax (708) 429-5667
Phone(708) 429-3504
Fax(708) 429-5667
Organization SubpartNo
Authorized OfficialRichard A StraumanPresident · (708) 429-3504
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2008
✔ NPI 1255400925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019016658
Definition
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.
16717 80TH AVE, Tinley Park, IL 60477
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Other Identifiers 7

OtherCBMI1MI · Bcbs
OtherCBAR1AR · Bcbs
OtherCBFL1FL · Bcbs
Other06126NY · Bcbs
OtherSP601CA · Bcbs
OtherCB621IL · Bcbs
OtherCBAL1AL · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 80th Ave Dental Associates's NPI number?

The NPI number for 80th Ave Dental Associates is 1255400925. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is 80th Ave Dental Associates located?

80th Ave Dental Associates is located at 16717 80th Ave, Tinley Park, IL 60477. The listed phone number is (708) 429-3504.

What is 80th Ave Dental Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for 80th Ave Dental Associates was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.