Oak Brook Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OAK BROOK DENTAL GROUP

Practice address

120 Oakbrook Ctr
Ste 326
Oak Brook, IL 60523-1806

Phone

(630) 990-7766

Fax

(630) 990-8570

NPI assigned

Jul 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James V Hudson, DDS

Title

President

Phone

(630) 990-7766

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Ann Egan-Kramer, BSN,DDS

  • Dentist
  • Oak Brook, IL
  • NPI 1215155478
  NPD (past)
• James William Griesbach, DDS

  • Dentist
  • Oak Brook, IL
  • NPI 1528286796
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164449914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OAKBROOK CTR",
            "address_2": "STE 326",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231806",
            "telephone_number": "630-990-7766",
            "fax_number": "630-990-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OAKBROOK CTR",
            "address_2": "STE 326",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231806",
            "telephone_number": "630-990-7766",
            "fax_number": "630-990-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK BROOK DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-990-7766",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oak Brook Clinic, LLC
• Oak Brook Counseling & Wellness LTD
• Oak Brook Dental Affiliates P.C.
• Oak Brook Dental Associates
• Oak Brook Dental Center Inc.
• Oak Brook Fertility Center, LTD.
• Oak Brook Healthcare Centre, LTD.
• Oak Brook Home Health LLC
• Oak Brook Medical Associates, S.C.
• Oak Brook Medical Group LTD

• General Practice Dentistry in Oak Brook, IL
• Providers in Oak Brook, 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 Aug 22, 2020; 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.