| Dental Associates Of Orland Park, Pllc | |
|
9443 W 144th Pl Orland Park IL 60462-2543 | |
| (708) 403-9848 | |
| Not Available |
| Full Name | Dental Associates Of Orland Park, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9443 W 144th Pl, Orland Park, Illinois |
| Authorized Official Name and Position | Marley Braker (PROVIDER CREDENTIALING TEAM LEADER) |
| Authorized Official Contact | 4148083031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Associates Of Orland Park, Pllc 11711 W Burleigh St Wauwatosa WI 53222-3108 Ph: () - | Dental Associates Of Orland Park, Pllc 9443 W 144th Pl Orland Park IL 60462-2543 Ph: (708) 403-9848 |
| NPI Number | 1053976605 |
|---|---|
| Provider Enumeration Date | 05/08/2019 |
| Last Update Date | 12/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053976605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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