Premier Oral and Maxillofacial Surgery P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

PREMIER ORAL AND MAXILLOFACIAL SURGERY P.C.

Doing business as

Premier Oral Surgery and Dental Implant Center

Practice address

16523 106TH CT Unit C2
Orland Park, IL 60467-4545

Phone

(708) 942-8154

Fax

(708) 551-0753

NPI assigned

Jul 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Abdulkader Hakimuddin Ghadiali, DDSNPI 1215458468

Title

President

Phone

(708) 942-8154

Specialties & licenses 1

Addresses

Other names 1

• PREMIER ORAL SURGERY AND DENTAL IMPLANT CENTER Doing business as

Locations

Practitioners 1

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

• Abdulkader Ghadiali, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Orland Park, IL
  • NPI 1215458468
  NPD Authorized official

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1992534168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16523 106TH CT UNIT C2",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674545",
            "telephone_number": "708-942-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16523 106TH CT UNIT C2",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674545",
            "telephone_number": "708-942-8154",
            "fax_number": "708-551-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORAL AND MAXILLOFACIAL SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "GHADIALI",
        "authorized_official_first_name": "ABDULKADER",
        "authorized_official_middle_name": "HAKIMUDDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-942-8154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER ORAL SURGERY AND DENTAL IMPLANT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pradeep Thapar, MD.SC
• Pragathi Challa MD SC
• Preferred Open MRI LTD (Preferred Imaging)
• Preferred Surgicenter LLC
• Premier Dental & Implant Center
• Premier Suburban Medical Group, PLLC
• Premier Suburban Medical Group, PLLC
• Premier Suburban Medical Group, PLLC
• Prestige Medical Group LLC
• Pri-Med Medical Center S C

• Oral and Maxillofacial Surgery (Dentist) in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.