Colleen T. Gaffney, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

01903172 Issued in IL

Practice address

Oak Ridge Family Dental
3615 W. 95TH Street
Evergreen Park, IL 60805-2119

Phone

(708) 422-2224

Fax

(708) 422-0296

NPI assigned

Jun 14, 2018

Sex

Female

Sole proprietor

No

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1699268573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OAK RIDGE FAMILY DENTAL",
            "address_2": "3615 W. 95TH STREET",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052119",
            "telephone_number": "708-422-2224",
            "fax_number": "708-422-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OAK RIDGE FAMILY DENTAL",
            "address_2": "3615 W. 95TH STREET",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052119",
            "telephone_number": "708-422-2224",
            "fax_number": "708-422-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFNEY",
        "first_name": "COLLEEN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01903172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Frye, DVM
• Functionally Balanced Bodywork Clinics, LLC
• Ana Fung-Cap, D.O.
• G & B Drugs
• Paul M. Gabriel, M.D.
• Meghan E Gaffney, DDS
• Mario M. Gallo, PH.D.
• Vanessa Elizabeth Galloway, MSN, APRN, FNP-BC
• Maureen Rose Gardner
• Gel M Gowin,Inc.

• General Practice Dentistry in Evergreen Park, IL
• Providers in Evergreen Park, 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 14, 2018; 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.