Provider Demographics
NPI:1134913312
Name:AFFORDABLE DENTURES & IMPLANTS - ORLAND PARK IV, P.C.
Entity type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - ORLAND PARK IV, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:708-429-7119
Mailing Address - Street 1:15800 S HARLEM AVE
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-5212
Mailing Address - Country:US
Mailing Address - Phone:708-429-7119
Mailing Address - Fax:
Practice Address - Street 1:15800 S HARLEM AVE
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-5212
Practice Address - Country:US
Practice Address - Phone:708-429-7119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty