# ORLAND PARK DENTAL SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174740393
- **Authorized official:** MISS DEDE LUSH RDH (MANAGER)
- **Authorized official phone:** (773) 327-3131

## Contact information

- **Practice address:** 9535 W 144TH PL, ORLAND PARK, IL 60462-2556
- **Practice address phone:** (708) 460-6900
- **Practice address fax:** (708) 460-0096
- **Mailing address:** 9535 W 144TH PL, ORLAND PARK, IL 60462-2556
- **Mailing address phone:** (708) 460-6900
- **Mailing address fax:** (708) 460-0096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 09/11/2025