MR. EDWARD DOMINA DDS
NPI 1639290315
Dentist - General Practice in Orland Pk, IL

Active since April 02, 2007
8651 WEST 159TH STREET, SUITE 1, ORLAND PK, IL 60462(708) 429-0900(708) 460-8096 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Edward Domina Dds NPPES

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

MR. EDWARD DOMINA DDS (NPI 1639290315) is an individual general practice provider in Orland Pk, Illinois, licensed in Illinois (019A15355) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1639290315
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. EDWARD DOMINACredential: DDS
Location Address8651 WEST 159TH STREET, SUITE 1Orland Pk, IL 60462
Mailing Address8651 West 159th Street, Suite 1Orland Pk, IL 60462 · (708) 429-0900 · Fax (708) 460-8096
Fax(708) 460-8096
Sole ProprietorNo
Enumeration DateApril 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1639290315 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 · 019A15355
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.

8651 WEST 159TH STREET, Orland Pk, IL 60462

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 Edward Domina's NPI number?

The NPI number for Edward Domina is 1639290315. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Edward Domina located?

Edward Domina practices at 8651 West 159th Street Suite 1, Orland Pk, IL 60462. The listed phone number is (708) 429-0900.

What is Edward Domina'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 Edward Domina was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.