Dental Associates of Orland Park, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL ASSOCIATES OF ORLAND PARK, PLLC

Practice address

9443 W 144TH PL
Orland Park, IL 60462-2543

Phone

(708) 403-9848

NPI assigned

May 8, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Marley Braker

Title

Provider Credentialing Team Leader

Phone

(414) 808-3031

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret Eber, DDS

  • General Practice Dentistry
  • Alsip, IL
  • NPI 1861019853
  NPD (past)
• Richard J Pape, D.D.S

  • Dentist
  • Orland Park, IL
  • NPI 1649394107
  NPD (past)
• Adam Raudebaugh, DMD

  • General Practice Dentistry
  • Orland Park, IL
  • NPI 1558000398
  NPD (past)

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1053976605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 W BURLEIGH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9443 W 144TH PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622543",
            "telephone_number": "708-403-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF ORLAND PARK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2023-12-12",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "BRAKER",
        "authorized_official_first_name": "MARLEY",
        "authorized_official_title_or_position": "PROVIDER CREDENTIALING TEAM LEADER",
        "authorized_official_telephone_number": "414-808-3031",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Delucia, BA, MSW, LCSW
• Lisa A Demarco, LCPC
• Shannon Dempsey
• Dennis J Niswonger, Psy.D, S.C
• Michaela Dennis, RBT-17-36299
• Dental Professionals of Illinois, P.C.
• Dentistry and Implantology Group of Orland Park, PC
• Anna R Denton, D.C.
• Tamara Denton
• Derick Dermatology, PLLC

• 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 Dec 12, 2023; 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.