Central Amazing Dental LLC
Organization Active NPI General Practice Dentistry · Burbank, IL
NPI 1184288151 · NPPES record last updated Aug 9, 2019
Key facts
- NPI
- 1184288151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- CENTRAL AMAZING DENTAL LLC
- Practice address
- 5501 W 79TH St Ste 201
Burbank, IL 60459-1796 - Phone
- (708) 424-5901
- Fax
- (708) 424-5901
- NPI assigned
- Apr 25, 2019
- Organization subpart
- No
Authorized official
- Name
- Ahmed Ramaha, DDS
- Title
- Owner
- Phone
- (708) 394-5100
Practitioners 1
-
Bara M Abusharara, DMD
National Provider Directory
Locations
5501 W 79th St
Ste 302
Burbank, IL 60459
5501 W 79th St
Ste 201
Burbank, IL 60459
Phone (708) 424-5901
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | |||
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
5501 W 79TH St Ste 201
Burbank, IL 60459-1796
Mailing address
5501 W 79TH St Ste 302
Burbank, IL 60459-2185
Phone (708) 394-5100
Other providers in Burbank, IL
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- Isabel A Calderon
- Hugo Camacho
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- Lawrence E. Casey
- Mark Jungjun Cha
- Sandeep Chandra
- Suvrat Chandra
- Veronica Alicia Chavez-Gonzalez
- Anita Chavez
All providers in Burbank, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.