Premier Dental & Implant Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PREMIER DENTAL & IMPLANT CENTER

Practice address

9641 W 153Rd St Ste 41
Orland Park, IL 60462-4603

Phone

(708) 873-9709

Fax

(708) 873-1388

NPI assigned

Oct 23, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Yamen Akhras, DDS

Title

Dentist

Phone

(708) 873-9709

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1033514849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9641 W 153RD ST STE 41",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624603",
            "telephone_number": "708-873-9709",
            "fax_number": "708-873-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9641 W 153RD ST STE 41",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624603",
            "telephone_number": "708-873-9709",
            "fax_number": "708-873-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL & IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "AKHRAS",
        "authorized_official_first_name": "YAMEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "708-873-9709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheldon Pownall, MD
• Pradeep Thapar, MD.SC
• Pragathi Challa MD SC
• Preferred Open MRI LTD
• Preferred Surgicenter LLC
• Premier Oral and Maxillofacial Surgery P.C.
• Premier Suburban Medical Group, PLLC
• Premier Suburban Medical Group, PLLC
• Premier Suburban Medical Group, PLLC
• Prestige Medical Group LLC

• General Practice Dentistry in Orland Park, IL
• Providers in Orland Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.