Family Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FAMILY DENTAL CENTER

Practice address

8715 Ridgeland Ave
Oak Lawn, IL 60453-1001

Phone

(708) 599-8122

NPI assigned

Apr 8, 2008

Last updated

Apr 8, 2008By 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

Dr. Ghassan Fathi Abdallah, DMDNPI 1720179021

Title

Dentist

Phone

(708) 599-8122

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.

• Ghassan Abdallah, DMD

  • Dentist
  • Oak Lawn, IL
  • NPI 1720179021
  NPD (past) Authorized official
• Cheitali Bhansali, DMD

  • General Practice Dentistry
  • Oak Lawn, IL
  • NPI 1003062464
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1255504510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 RIDGELAND AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531001",
            "telephone_number": "708-599-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 RIDGELAND AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531001",
            "telephone_number": "708-599-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "ABDALLAH",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_middle_name": "FATHI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "708-599-8122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon Eydelman, MD
• Eye Specialist Group, LLC
• Eymard Silva DPM PC
• Mark Adrian Faasse, MD
• Ashley Renae Fajardo, FNP-BC
• Family Eye Physicians, LTD
• Family Medical Pharmacy, Inc.
• Frederick S Fanapour, MD
• Samuel Abraham Farbstein, MD
• Hamad Issam Farhat, MD

• 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 Apr 8, 2008; 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.