Oak Lawn Dental Group, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OAK LAWN DENTAL GROUP, P.C.

Practice address

10220 S Cicero Ave
Suite 101
Oak Lawn, IL 60453-4082

Phone

(708) 636-0786

Fax

(708) 636-9389

NPI assigned

Aug 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Glenn R. Schoenheider, DDS

Title

Owner

Phone

(708) 636-0786

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188000000000",
    "number": "1972796654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 S CICERO AVE",
            "address_2": "SUITE 101",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534082",
            "telephone_number": "708-636-0786",
            "fax_number": "708-636-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 S CICERO AVE",
            "address_2": "SUITE 101",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534082",
            "telephone_number": "708-636-0786",
            "fax_number": "708-636-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK LAWN DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-25",
        "last_updated": "2007-08-25",
        "status": "A",
        "authorized_official_last_name": "SCHOENHEIDER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-636-0786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oak Foot and Ankle LLC
• Oak Lawn Chiropractic Health Center S.C.
• Oak Lawn Comm HS Dist 229
• Oak Lawn Dental Associates PC
• Oak Lawn Dental Care, PC
• Oak Lawn East Skilled Nursing Facility LLC
• Oak Lawn Endoscopy LLC
• Oak Lawn Foot & Ankle Center, P.C.
• Oak Lawn Health Mart Pharmacy Inc
• Oak Lawn Hometown SCH Dist 123

• General Practice Dentistry in Oak Lawn, IL
• Providers in Oak Lawn, 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 Aug 25, 2007; 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.