Provider Demographics
NPI:1275865248
Name:OAKHURST DENTAL CARE PC
Entity Type:Organization
Organization Name:OAKHURST DENTAL CARE PC
Other - Org Name:ADVANCED FAMILY DENTAL OF NAPERVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NASIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOBANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-965-2880
Mailing Address - Street 1:3744 FALKNER DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-6102
Mailing Address - Country:US
Mailing Address - Phone:630-548-4993
Mailing Address - Fax:630-672-7161
Practice Address - Street 1:609 S ROUTE 59
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-8169
Practice Address - Country:US
Practice Address - Phone:630-236-0500
Practice Address - Fax:630-236-0372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty