# THE DENTAL SPECIALISTS

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

## Provider details

- **NPI number:** 1417183369
- **Authorized official:** RAJAN SHARMA (OWNER)
- **Authorized official phone:** (708) 647-9112

## Contact information

- **Practice address:** 18213 DIXIE HWY, HOMEWOOD, IL 60430-2205
- **Practice address phone:** (708) 647-9112
- **Mailing address:** 18213 DIXIE HWY, HOMEWOOD, IL 60430-2205
- **Mailing address phone:** (708) 647-9112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0300X | Periodontics | 021-001569 | IL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 021-001569 | IL | Yes |

## Other

- **Enumeration date:** 06/05/2009
- **Last updated:** 06/05/2009