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General NPI Number Information
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NPI Number | 1851315378
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Entity Type | Organization
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Legal Business Name | STEVEN C. OLTEAN DDS AND ASSOCIATES, PC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 715 W LAKE ST SUITE 103
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City | ADDISON
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State | IL
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Zip | 60101-2082
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Country | US
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Telephone | 630-628-9310
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Fax | 630-628-9371
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Provider Business Mailing Address
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Address Line | 350 W EDSON PL
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City | LOMBARD
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State | IL
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Zip | 60148-3822
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Country | US
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Telephone | 630-268-9094
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN CHARLES OLTEAN
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Credential | DDS
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Telephone | 630-390-5725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 21002101
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License Number State | IL
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