Healthcare Provider Details

I. General information

NPI: 1154496495
Provider Name (Legal Business Name): FRANK R. ORLAND, D.D.S. & CARLA P. ORLAND, D.D.S., LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 N DELAPLAINE RD
RIVERSIDE IL
60546-2022
US

IV. Provider business mailing address

21 N DELAPLAINE RD
RIVERSIDE IL
60546-2022
US

V. Phone/Fax

Practice location:
  • Phone: 708-447-2100
  • Fax: 708-447-0654
Mailing address:
  • Phone: 708-447-2100
  • Fax: 708-447-0654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. FRANK R. ORLAND
Title or Position: PRESIDENT
Credential: D.D.S.
Phone: 708-447-2100