Oak Mill Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

019027804 Issued in IL

Legal business name

OAK MILL FAMILY DENTAL

Practice address

7900 N Milwaukee Ave
Suite 2-30a
Niles, IL 60714-3159

Phone

(847) 965-4300

Fax

(866) 830-0746

NPI assigned

Jun 20, 2015

Organization subpart

No

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

Authorized official

Name

Paul Theodore Anast, DMD

Title

Owner/Dental

Phone

(847) 965-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Niles Family Dental Other name

Locations

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

{
    "created_epoch": "1434758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434758400000",
    "number": "1285016709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE",
            "address_2": "SUITE 2-30A",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143159",
            "telephone_number": "847-965-4300",
            "fax_number": "866-830-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE",
            "address_2": "SUITE 2-30A",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143159",
            "telephone_number": "847-965-4300",
            "fax_number": "866-830-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK MILL FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-20",
        "last_updated": "2015-06-20",
        "status": "A",
        "authorized_official_last_name": "ANAST",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER/DENTAL",
        "authorized_official_telephone_number": "847-965-4300",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1700031127",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Niles Family Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nurture Home Health Services
• NWDG Niles LLC
• Madeleine Anne O'Connor, PHARMD
• Summer Marcel O'Gradney, MS
• Oak Mill Dental Group Corp
• Oak Mill Imaging, LLC
• Oak Mill Medical Associates SC
• Oak Park Consultant
• Oak-Mill Pediatrics S.C
• Oakmill Pharmacy, LLC

• Dentist in Niles, IL
• Providers in Niles, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2015; 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.