# THE DENTAL SPECIALISTS

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

## Provider details

- **NPI number:** 1548640485
- **Authorized official:** DR. RAJAN SHARMA MSD (PRESDIENT)
- **Authorized official phone:** (630) 960-4447

## Contact information

- **Practice address:** 5215 OLD ORCHARD RD, SUITE 200, SKOKIE, IL 60077-1035
- **Practice address phone:** (847) 663-0400
- **Mailing address:** 5215 OLD ORCHARD RD, SUITE 200, SKOKIE, IL 60077-1035
- **Mailing address phone:** (847) 663-0400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0300X | Periodontics | 021001569 | IL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 021001569 | IL | Yes |

## Other

- **Enumeration date:** 06/05/2015
- **Last updated:** 06/05/2015