Provider Demographics
NPI:1851315378
Name:STEVEN C. OLTEAN DDS AND ASSOCIATES, PC
Entity Type:Organization
Organization Name:STEVEN C. OLTEAN DDS AND ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:OLTEAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-390-5725
Mailing Address - Street 1:350 W EDSON PL
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-3822
Mailing Address - Country:US
Mailing Address - Phone:630-268-9094
Mailing Address - Fax:
Practice Address - Street 1:715 W LAKE ST
Practice Address - Street 2:SUITE 103
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101-2082
Practice Address - Country:US
Practice Address - Phone:630-628-9310
Practice Address - Fax:630-628-9371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL210021011223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty