Coleman Phair, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019036088 Issued in IL

Practice address

9101 S Cicero Ave
Oak Lawn, IL 60453-1804

Phone

(708) 419-1601

NPI assigned

Jun 16, 2025

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1184510075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 W POLK ST APT 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074954",
            "telephone_number": "385-985-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531804",
            "telephone_number": "708-419-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAIR",
        "first_name": "COLEMAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019036088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petty, Bielik & Burke Orthodontics, P.C.
• William D. Petty, DDS, MS
• Sharon Therese Petzel, LCSW
• Nichole Natalie Pezeshki, LCSW
• Anna Kathryn Pfeiffer, PA-C
• James Phelan, LPC
• Janet Phelan, M.D.
• Kerry Phelan, M.S. CCC-SLP
• Noreen Philbin
• Jennifer L Philip, SLP-L

• General Practice Dentistry in Oak Lawn, IL
• Providers in Oak Lawn, 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 Jun 16, 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.