FAMILY DENTAL CENTER (NPI# 1255504510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255504510 |
| Entity Type | Organization |
| Organization Name | FAMILY DENTAL CENTER |
| Practice Address |
8715 Ridgeland Ave Oak Lawn IL 60453-1001 |
| Practice Telephone | 7085998122 |
| Mailing Telephone | 7085998122 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |
| Authorized Official Name | DR. GHASSAN FATHI ABDALLAH (DENTIST) |
| Authorized Official Telephone | 7085998122 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538211172 | Family Dental Center | Dentist | 1 Winston & Maryland Ave, Wilmington, DE 19804 | 2007-01-16 |
| 1396809901 | Family Dental Center | Dentist | 4301 Nw 63rd, Suite 303, Oklahoma City, OK 73116 | 2006-12-20 |
| 1164843421 | Family Dental Center | Dentist | 908 Waukegan Rd, Glenview, IL 60025-4315 | 2014-01-03 |
| 1568898856 | Family Dental Center | Dentist | 6333 State Road 54, New Port Richey, FL 34653-6037 | 2013-09-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | FAMILY DENTAL CENTER OF MAQUOKETA, P.C. | 119 South Main Ste 1, Maquoketa, IA 52060 |
| Virginia Business Entities | Family Dental Center of Tysons P.C. | 2136 Gallows Road Ste B, Dunn Loring, Virginia 22027 |
| Indiana Business Entities | FAMILY DENTAL CENTER SERVICE COMPANY OF AMERICA | Lana Dishman, One N. Capitol Ave., Indpls, IN 46204 |
| Iowa Business Entities | FAMILY DENTAL CENTER, P.C. | 1060 W. Milwaukee, Storm Lake, IA 50588 |
| Oregon Corporations, Companies and Business Names | FAMILY DENTAL CENTERS, LLC | 4455 Sw Scholls Ferry Rd, Portland, OR 97225 |
| Street Address |
8715 RIDGELAND AVE |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003062464 | Cheitali Bhansali | Dentist | 8715 Ridgeland Ave, Oak Lawn, IL 60453-1001 | 2008-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740806066 | Hussien Ahmad | Dentist | 8841 Ridgeland Ave, Oak Lawn, IL 60453-1002 | 2020-06-23 |
| 1376192203 | Shazad S Al-kurdi | Dentist | 9539a S Cicero Ave, Oak Lawn, IL 60453-3136 | 2019-09-04 |
| 1467716506 | Meghan E Gaffney | Dentist | 4445 W. 95th Street, Oak Lawn, IL 60453-7219 | 2012-07-03 |
| 1932485356 | Erica Zolnierczyk | Dentist | 9719 Southwest Hwy, Oak Lawn, IL 60453-3614 | 2011-10-31 |
| 1326292509 | Thomas J. Remijas | Dentist | 9761 Southwest Hwy, Oak Lawn, IL 60453-3661 | 2008-11-13 |
| 1124270640 | Thomas John Salmon Sr. | Dentist | 4524 W. 95th Street, Oak Lawn, IL 60453 | 2008-10-15 |
| 1972796654 | Oak Lawn Dental Group, P.C. | Dentist | 10220 S Cicero Ave, Suite 101, Oak Lawn, IL 60453-4082 | 2007-08-25 |
| 1326242884 | Perry E. Rossino | Dentist | 9101 S Cicero Ave, Oak Lawn, IL 60453-1804 | 2007-06-11 |
| 1750502365 | Gilbert Villasenor | Dentist | 10522 S. Cicero Ave, Oak Lawn, IL 60453-5200 | 2007-05-01 |
| 1700901196 | Jack W Ruby | Dentist | 6735 W 95th St, Oak Lawn, IL 60453-2112 | 2007-03-21 |
| Find all providers in OAK LAWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.