Skip to content

Prairie Dental of Oak Park LLC

NPI 1831742733ActiveOrganization· Dentist· Oak Park, IL

Dentist in Oak Park, Illinois, registered in NPPES in July 2019. The authorized official on file is Oscar G. Gonzalez, Director Of Operations.

Overview

NPI1831742733
StatusActive
Entity typeOrganization
NPI issuedJul 19, 2019
Last updated in NPPESJul 19, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist providers in Oak Park

All Dentist providers in Illinois →