Robert L Tentler, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019021002 Issued in IL

Practice address

16600 107TH CT
Orland Park, IL 60467-8898

Phone

(708) 403-3355

Fax

(708) 403-3374

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lincoln Park Center for Dental Anesthesia

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1043959323
  NPD Authorized official
• Southwest Dental Group

  • General Practice Dentistry
  • Orland Park, IL
  • NPI 1306090170
  NPD (past) Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1134293111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 107TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678898",
            "telephone_number": "708-403-3355",
            "fax_number": "708-403-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 107TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678898",
            "telephone_number": "708-403-3355",
            "fax_number": "708-403-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENTLER",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019021002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amil Tariq, ST
• Ewelina Tatar, APRN, FNP-C
• Ayanna Taylor, RBT
• Karla U Taylor, LPC
• Kerstin Taylor
• Kathleen Mary Teresi, MA. ED. BCBA
• Barbara S Terpstra, MD
• Terrence L. Graff DDS PC
• Terri Christiansen, PH.D., LTD.
• James J Tess, M.D.

• 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 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.