Provider Demographics
NPI:1376348151
Name:AWESOME DENTISTRY OAKBROOK TERRACE LLC
Entity type:Organization
Organization Name:AWESOME DENTISTRY OAKBROOK TERRACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:TONY
Authorized Official - Last Name:ALEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-373-5050
Mailing Address - Street 1:1S376 SUMMIT AVE
Mailing Address - Street 2:COURT A UNIT 1E
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3930
Mailing Address - Country:US
Mailing Address - Phone:630-571-3030
Mailing Address - Fax:630-656-1398
Practice Address - Street 1:1S376 SUMMIT AVE
Practice Address - Street 2:COURT A UNIT 1E
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3930
Practice Address - Country:US
Practice Address - Phone:630-571-3030
Practice Address - Fax:630-656-1398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty