What is OAK LAWN DENTAL ASSOCIATES PC's NPI number?

The NPI number assigned to this healthcare provider is 1316203458, enumerated as a organization on April 3, 2012.

Where is the provider located?

The provider is located at 9101 S CICERO AVE OAK LAWN, IL 60453 and the phone number is (708) 423-0940.

What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 122300000X.

OAK LAWN DENTAL ASSOCIATES PC - NPI 1316203458

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About Oak Lawn Dental Associates Pc NPPES

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

OAK LAWN DENTAL ASSOCIATES PC (NPI 1316203458) is a healthcare organization registered as a dentist in Oak Lawn, Illinois and active in the NPI registry since April 2012. The organization lists Perry E Rossino, Owner, as its authorized official.Information from the official NPPES registry record, last updated April 3, 2012.

NPPES Registry Identity

NPI1316203458

Entity TypeOrganization

Legal Business NameOAK LAWN DENTAL ASSOCIATES PC

Location Address9101 S CICERO AVEOak Lawn, IL 60453-1804

Mailing Address9101 S Cicero AveOak Lawn, IL 60453-1804 · (708) 423-0940 · Fax (708) 423-0980

Phone(708) 423-0940

Fax(708) 423-0980

Organization SubpartNo

Authorized OfficialPerry E RossinoOwner · (708) 423-0940

Enumeration DateApril 3, 2012

✔ NPI 1316203458 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Dentist

Taxonomy 122300000X · Dental Providers

✔ Licensed in IL · 19018803

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the… Show more

9101 S CICERO AVE, Oak Lawn, IL 60453

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Also on File with NPPES

Group Practice1

This 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)