Oak Mill Dental Group Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OAK MILL DENTAL GROUP CORP

Practice address

7900 N Milwaukee Ave
Suite 2-24
Niles, IL 60714-3159

Phone

(847) 470-0240

Fax

(773) 417-4684

NPI assigned

May 13, 2013

Organization subpart

No

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

Authorized official

Name

Timothy Bashford, DDS

Title

President

Phone

(847) 470-0240

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1285070615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE STE 2-24",
            "address_2": "SUITE 224",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143186",
            "telephone_number": "847-470-0240",
            "fax_number": "847-470-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE",
            "address_2": "SUITE 2-24",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143159",
            "telephone_number": "847-470-0240",
            "fax_number": "773-417-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK MILL DENTAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "BASHFORD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-470-0240",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• General Practice Dentistry in Niles, IL
• Providers in Niles, 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 Feb 28, 2014; 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.