Optimal Dental Associates, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

019026802 Issued in IL

Legal business name

OPTIMAL DENTAL ASSOCIATES, LLC

Practice address

15916 Harlem Ave
Ste J3
Tinley Park, IL 60477-1610

Phone

(708) 802-6990

NPI assigned

Jun 17, 2016

Organization subpart

No

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

Authorized official

Name

Saqib Mohajir, D.M.D.

Title

Owner

Phone

(630) 670-4886

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1912357278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15916 HARLEM AVE",
            "address_2": "STE J3",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771610",
            "telephone_number": "708-802-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15916 HARLEM AVE",
            "address_2": "STE J3",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771610",
            "telephone_number": "708-802-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "MOHAJIR",
        "authorized_official_first_name": "SAQIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-670-4886",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augustina Onwuka, PMHNP
• Kim Opalacz, RNFA
• Open Advanced MRI of Tinley Park, LLC
• Sharon Opon, PT
• Optech Orthotics & Prosthetics
• Optimal Dental Partnership
• Optimal Dental Tinley PC
• Victoria Oreilly
• Areli Ortega Rodriguez
• Madyson Orth

• Dentist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.