Orland Park Dental Specialists

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORLAND PARK DENTAL SPECIALISTS

Practice address

9535 W 144TH PL
Orland Park, IL 60462-2556

Phone

(708) 460-6900

Fax

(708) 460-0096

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Miss Dede Lush, RDH

Title

Manager

Phone

(773) 327-3131

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1174740393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 W 144TH PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622556",
            "telephone_number": "708-460-6900",
            "fax_number": "708-460-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 W 144TH PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622556",
            "telephone_number": "708-460-6900",
            "fax_number": "708-460-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLAND PARK DENTAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LUSH",
        "authorized_official_first_name": "DEDE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-327-3131",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.