Oak Mill Dental Group Corp

NPI #1285070615 in Niles, Illinois

Provider Information

NPI Number: 1285070615
Entity Type: Organization
Organization Name: Oak Mill Dental Group Corp
Primary Specialty: Dentist - General Practice
Enumeration Date: May 13, 2013
Last Updated: Feb 28, 2014

Practice Location

Address: 7900 N MILWAUKEE AVE
Address 2: SUITE 2-24
City: Niles
State: Illinois
ZIP Code: 60714-3159
Phone: (847) 470-0240

Authorized Official

Name: TIMOTHY BASHFORD, DDS
Title: PRESIDENT
Phone: (847) 470-0240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist - General Practice — General Practice	1223G0001X	Primary

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