Oak Brook Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-022204 Issued in IL

Legal business name

OAK BROOK DENTAL ASSOCIATES

Practice address

2208 Midwest Rd
Oak Brook, IL 60523-1277

Phone

(630) 954-4747

Fax

(630) 954-5800

NPI assigned

Jan 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Vasilios S Panos, DDSNPI 1164859161

Title

President

Phone

(630) 954-4747

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vasilios S. Panos, DDS

  • Dentist
  • Oak Brook, IL
  • NPI 1164859161
  NPD (past) Authorized official
• George S. Panos, D.D.S.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Oak Brook, IL
  • NPI 1538214234
  NPD (past)

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1699911271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 MIDWEST ROAD",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231277",
            "telephone_number": "630-954-4747",
            "fax_number": "630-954-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 MIDWEST RD",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231277",
            "telephone_number": "630-954-4747",
            "fax_number": "630-954-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK BROOK DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "PANOS",
        "authorized_official_first_name": "VASILIOS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-954-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-022204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oak Brook Center for Health Inc
• Oak Brook Chiropractic Center PC
• Oak Brook Clinic, LLC
• Oak Brook Counseling & Wellness LTD
• Oak Brook Dental Affiliates P.C.
• Oak Brook Dental Center Inc.
• Oak Brook Dental Group
• Oak Brook Fertility Center, LTD.
• Oak Brook Healthcare Centre, LTD.
• Oak Brook Home Health LLC

• General Practice Dentistry in Oak Brook, IL
• Providers in Oak Brook, 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 Jan 2, 2009; 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.