Provider Demographics
NPI:1164752929
Name:BEST PRACTICE DENTAL
Entity Type:Organization
Organization Name:BEST PRACTICE DENTAL
Other - Org Name:OAK PARK DENTAL CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAFA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIRSOLTANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:708-383-3377
Mailing Address - Street 1:7234 W NORTH AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60707
Mailing Address - Country:US
Mailing Address - Phone:708-383-3377
Mailing Address - Fax:708-383-3779
Practice Address - Street 1:7234 W NORTH AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:ELMWOOD PARK
Practice Address - State:IL
Practice Address - Zip Code:60707
Practice Address - Country:US
Practice Address - Phone:708-383-3377
Practice Address - Fax:708-383-3779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-30
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty